Individual
PRIYA ASIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18200 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-1446
(262) 444-2158
Mailing address
18200 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-1446
(262) 444-5148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34771700
—
WI
01
—
P00602500
RR MEDICARE
WI
Enumeration date
05/08/2007
Last updated
04/11/2024
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