IndividualActive
Anushayanthan Alfred, M.D., M.P.H
NPI 1871765859 · Nephrology Physician · Glendale, WI
Provider details
- NPI number
- 1871765859
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.P.H
- Sex
- Male
- Sole proprietor
- No
- License
- 54326 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5650 N Green Bay Ave Ste 210
Glendale, WI 53209-4447
Phone: (414) 431-5971
Fax: (414) 434-0354
Approximate (ZIP-level) locationGet directions
Mailing address
2514 S 102nd St
West Allis, WI 53227-2142
Registry dates
- Enumerated
- 2008-03-30
- Last updated
- 2022-05-19
- Certified
- 2022-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.