Vijayabhanu, Kalluru
Vijayabhanu, Kalluru is an individual health care provider with primary practice located at 5228 W Fond Du Lac Ave , Milwaukee WI 53216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Vijayabhanu, Kalluru can be contacted via phone (414) 536-2100.Contact Information
Primary practice address
5228 W Fond Du Lac Ave
Milwaukee WI 53216
Phone: (414) 536-2100
Fax: (414) 536-2311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 37250 | Wisconsin |
Profile Details
| NPI number | 1144310475 |
|---|---|
| LBN Legal business name | Vijayabhanu, Kalluru |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
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