IndividualActive
Kalluru Vijayabhanu, MD
NPI 1144310475 · Geriatric Medicine (Internal Medicine) Physician · Milwaukee, WI
Provider details
- NPI number
- 1144310475
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 37250 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5228 W Fond Du Lac Ave
Milwaukee, WI 53216
Phone: (414) 536-2100
Fax: (414) 536-2311
Approximate (ZIP-level) locationGet directions
Mailing address
8520 N Greenvale Rd
Bayside, WI 53217
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.