Dr. Kalluru Vijayabhanu
Geriatric Medicine
5228 W Fond Du Lac Ave
Milwaukee
, Wisconsin 53216
Dr. Kalluru Vijayabhanu
Geriatric Medicine
5228 W Fond Du Lac Ave
Milwaukee
, Wisconsin 53216
(414) 228-9446
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Kalluru Vijayabhanu
- 8520 N Greenvale Rd
- Bayside, WI
- Zip : 53217
- Phone : (414) 228-9446
Second Address
- Dr. Kalluru Vijayabhanu
- 5228 W Fond Du Lac Ave
- Milwaukee, WI
- Zip : 53216
- Fax : (414) 536-2311
- Phone : (414) 536-2100
Reviews
FAQs
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Is Dr. Kalluru Vijayabhanu accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 37250 | WI |
National Provider Identifier
| NPI | 1144310475 |
|---|---|
| Provider Name | Dr. Kalluru Vijayabhanu |
| First Address | Bayside, WI 53217 |
| Second Address | Milwaukee, WI 53216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G66698 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.