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NPI Code Detail

MEDICARE: DR. HEMA RAJANNA M.D

MEDICARE: DR. HEMA RAJANNA M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician55652WI
22083A0300XAddiction Medicine (Preventive Medicine) Physician55652WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073743076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEMA RAJANNA M.D
Provider Business Mailing Address
First Line : 11101 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-1133
Country : US
Telephone Number : 262-646-1391
Fax Number : 262-646-1393
Provider Business Practice Location Address
First Line : 11101 W LINCOLN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-1133
Country : US
Telephone Number : 262-646-1391
Fax Number : 262-646-1393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2009
Last Update Date : 09/29/2025

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