Tachtatzis, Phaedra Maria
Tachtatzis, Phaedra Maria is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Hepatology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Hepatology is her primary health care specialty. Tachtatzis, Phaedra Maria can be contacted via phone (414) 805-3310.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-3310
Fax: (414) 805-3885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 10-876 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 10-876 | Wisconsin |
Profile Details
| NPI number | 1801672282 |
|---|---|
| LBN Legal business name | Tachtatzis, Phaedra Maria |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2023 |
| Last updated | Nov 17th, 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 | 1801672282 | NPPES |
| Wisconsin | MEDICAID | 1801672282 |
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