Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 24109 | WI |
NPI | 1013982594 |
---|---|
Provider Name | Dr. Bhupendra O Khatri |
First Address | Milwaukee, WI 53215-4526 |
Second Address | Milwaukee, WI 53215-4526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 31/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30413700 | (05) | WI |
B84976 | (02) | WI |