Haksha Healthcare S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAKSHA HEALTHCARE S.C.

Practice address

4931 S 27TH St Ste 300
Greenfield, WI 53221-2653

Phone

(855) 942-5742

Fax

(877) 942-5742

NPI assigned

Jan 22, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kshama Keshava Bhat, MD

Title

President

Phone

(855) 942-5742

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1396375069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212653",
            "telephone_number": "855-942-5742",
            "fax_number": "414-810-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212653",
            "telephone_number": "855-942-5742",
            "fax_number": "877-942-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAKSHA HEALTHCARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "KESHAVA BHAT",
        "authorized_official_first_name": "KSHAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-942-5742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255526190",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenfield",
            "affiliation": "N",
            "endpointDescription": "RM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4931 S 27th St Ste 300",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532212653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Guida, RPH
• Jesse Kailyn Haefner, OTR
• Susan L Hafemann, APNP
• Jennifer Marie Hagen, OTR
• Susan Miyoung Hahn, PHARMD
• Courtney K Haleen, NP
• Rayan Hamade, M.D.
• Mohammad Hammad
• Stephen J Handrich, MD
• William Hanel, MSW, LCSW

• Family Medicine Physician in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.