Individual provider · NPI-1

Pratik Jivani, M.D.

Hospitalist · Waukesha, WI

NPI number1598056756
StatusActive
Last updated in NPPESFeb 14, 2024

Details

NPI
1598056756
Entity type
Individual (NPI-1)
Name
Pratik Jivani
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 22, 2011
Certification date
Feb 14, 2024
Last updated
Feb 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist55672WIYes
207R00000X Internal Medicine55672-20WI

Practice location

725 American Ave
Waukesha, WI 53188-5031

Phone 262-928-5400 · Fax 262-928-6140

Mailing address

725 American Ave
Waukesha, WI 53188-5031

Phone 262-928-5400 · Fax 262-928-6140

Other practice locations

791 Summit Ave
Oconomowoc, WI 53066-3896

Phone 262-569-0259

240 Maple Ave
Mukwonago, WI 53149-8475

Phone 262-521-7761

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