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Individual

DR. ABHILASH KORATALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
72473
WI
207RN0300X
Nephrology Physician
S0176
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017804300
FL
05
1912288002
WI
05
393952201
TX
Enumeration date
09/01/2011
Last updated
07/21/2025
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