Bhanu P Sankineni LLC

Organization Active NPI Internal Medicine Physician · Edgerton, WI

NPI 1972048429 · NPPES record last updated Oct 29, 2022

Key facts

NPI
1972048429
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
64184-20 (WI)
Legal business name
BHANU P SANKINENI LLC
Practice address
11101 N Sherman Rd
Edgerton, WI 53534-9002
Phone
(702) 453-3799
Fax
(702) 453-5741
NPI assigned
Dec 19, 2016
Organization subpart
No

Authorized official

Name
Bhanu P Sankineni, MD
Title
Sole Owner
Phone
(608) 561-6644

National Provider Directory

Locations

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 64184-20 WI Yes
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

11101 N Sherman Rd
Edgerton, WI 53534-9002

Mailing address

PO Box 4071
Barrington, IL 60011-4071
Phone (702) 453-3799

Other providers in Edgerton, WI

All providers in Edgerton, WI · Internal Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.