Brahmamdam, Anand
Brahmamdam, Anand is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Brahmamdam, Anand can be contacted via phone (414) 649-3323.Contact Information
Primary practice address
2900 W Oklahoma Ave
Milwaukee WI 53215-4330
Phone: (414) 649-3323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 036.148128 | Illinois |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | OS16633 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | OS16633 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 65274 | Wisconsin |
Profile Details
| NPI number | 1063830784 |
|---|---|
| LBN Legal business name | Brahmamdam, Anand |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2014 |
| Last updated | Oct 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063830784 | NPPES |
| Wisconsin | MEDICAID | 100063575 |
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