Healthcare Provider Details

I. General information

NPI: 1063861706
Provider Name (Legal Business Name): ANUPAMA T JOSEPH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE MC-7082
CHICAGO IL
60637-1447
US

IV. Provider business mailing address

149 MILKY WAY
MADISON WI
53718-2945
US

V. Phone/Fax

Practice location:
  • Phone: 773-702-6840
  • Fax: 773-702-2230
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number71356
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number71356-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: