Organization
KRISHNA S. NENI, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET KIRKISH (OFFICE MANAGER)
(414) 671-1449
Entity
Organization
Contact information
Practice address
3267 S 16TH ST, #103, MILWAUKEE, WI 53215-4500
(414) 671-1449
Mailing address
3267 S 16TH ST, #103, MILWAUKEE, WI 53215-4500
(414) 671-1449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28948
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
28326
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
45393
WI
207RP1001X
Pulmonary Disease Physician
39828
WI
363AM0700X
Medical Physician Assistant
1176023
WI
363AM0700X
Medical Physician Assistant
1915023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32887800
—
WI
01
—
CT0646
RAILROAD MEDICARE
WI
Enumeration date
07/30/2006
Last updated
03/11/2008
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