MEDICARE: DR. SHWETHA SIMHAN 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
1	207L00000X	Anesthesiology Physician	336199	NY
2	208VP0000X	Pain Medicine Physician	52775-20	WI
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	52775-20	WI
4	207L00000X	Anesthesiology Physician	52775	WI

General Provider Information

NPI Number	:	1942476619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHWETHA SIMHAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1036
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53008-1036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HIGHLAND AVE
Second Line	:	B6/319 CSC, DEPARTMENT OF ANESTHESIOLOGY
City	:	MADISON
State	:	WI
Zip	:	53792-3272
Country	:	US
Telephone Number	:	608-263-8106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	12/09/2025

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