Baruah, Jitendra

Baruah, Jitendra is an individual health care provider with primary practice located at 3201 S 16Th St Suite 200, Milwaukee WI 53215-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Baruah, Jitendra can be contacted via phone (414) 384-5581.

Contact Information

Primary practice address
3201 S 16Th St Suite 200 Milwaukee WI 53215-4537
Phone: (414) 384-5581
Fax: (414) 384-5644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 22662-020 Wisconsin

Profile Details

NPI number 1720143894
LBN Legal business name Baruah, Jitendra
Credentials MD, S.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Apr 28th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720143894 NPPES
Wisconsin MEDICAID 30288000

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