Individual
TANVIR KHALID BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-6180
(414) 385-4436
Mailing address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-6180
(414) 385-4436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27160-020
WI
207RC0000X
Cardiovascular Disease Physician
27160
WI
207RI0011X
Interventional Cardiology Physician
Primary
27160-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30714300
—
WI
Enumeration date
03/02/2006
Last updated
07/21/2022
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