| Haksha Healthcare S.C. | |
|
4931 S 27th St Ste 300 Greenfield WI 53221-2653 | |
| (855) 942-5742 | |
| (877) 942-5742 |
| Full Name | Haksha Healthcare S.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 4931 S 27th St Ste 300, Greenfield, Wisconsin |
| Authorized Official Name and Position | Kshama Keshava Bhat (PRESIDENT) |
| Authorized Official Contact | 8559425742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haksha Healthcare S.C. 4931 S 27th St Ste 300 Greenfield WI 53221-2653 Ph: (855) 942-5742 | Haksha Healthcare S.C. 4931 S 27th St Ste 300 Greenfield WI 53221-2653 Ph: (855) 942-5742 |
| NPI Number | 1396375069 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396375069 | NPI | - | NPPES |
| 1255526190 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207QB0002X | Family Medicine - Obesity Medicine | (NU) | Secondary |
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