Organization
BHANU P SANKINENI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHANU P SANKINENI MD (SOLE OWNER)
(608) 561-6644
Entity
Organization
Contact information
Practice address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 4071, BARRINGTON, IL 60011-4071
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64184-20
WI
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
12/19/2016
Last updated
10/29/2022
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