SAIVENKAT H VAGVALA

MILWAUKEE, WI
NPI1831546571
Professional NameSAI VAGVALA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  69906)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5101022440)
2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  1831546571)
Enumeration Date2016-05-23
Last Update Date2022-11-16
Business Address
SAIVENKAT H VAGVALA D.O.
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-630-7273
Mailing Address
SAIVENKAT H VAGVALA D.O.
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-649-6000