Doctor Name: | WASEEM ANANI |
NPI Number: | 1013302926 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 63257 |
Business Practice Address: | 638 N 18th St Milwaukee, WI - 532332121 |
Business Phone Number: | 4129376358 |
Business Fax Number: | |
Mailing Address: | 638 N 18th St, P.o. Box 2178 MILWAUKEE |
State: | WI |
Postal Code: | 532332121 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/30/2015 |
NPI Last Update Date: | 06/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 63257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |