Healthcare Provider Details

I. General information

NPI: 1194968263
Provider Name (Legal Business Name): MILAN J JOSHI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2009
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W OKLAHOMA AVE
MILWAUKEE WI
53215-4330
US

IV. Provider business mailing address

1301 SUNSET DR 3
JOHNSON CITY TN
37604-7906
US

V. Phone/Fax

Practice location:
  • Phone: 414-649-3323
  • Fax:
Mailing address:
  • Phone: 423-979-5610
  • Fax: 423-926-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberFJ3394967
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101259572
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number53469
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number53469
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: