| Kaaya Medicine | |
|
14840 Jueau Blvd Elm Grove WI 53122 | |
| (262) 784-5976 | |
| Not Available |
| Full Name | Kaaya Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 14840 Jueau Blvd, Elm Grove, Wisconsin |
| Authorized Official Name and Position | Kanan Gutgutia (OWNER) |
| Authorized Official Contact | 2627845976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaaya Medicine 14840 Jueau Blvd Elm Grove WI 53122 Ph: (262) 784-5976 | Kaaya Medicine 14840 Jueau Blvd Elm Grove WI 53122 Ph: (262) 784-5976 |
| NPI Number | 1912161266 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912161266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41670-020 (Wisconsin) | Primary |
Gundersen Lutheran Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13500 Watertown Plank Rd Ste 206, Elm Grove, WI 53122 Phone: 608-782-7300 |