| Jitendra K Baruah Md Sc | |
|
3201 S 16th St Suite 200 Milwaukee WI 53215-4537 | |
| (414) 384-5581 | |
| (414) 384-5644 |
| Full Name | Jitendra K Baruah Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3201 S 16th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Jitendra K Baruah (OWNER) |
| Authorized Official Contact | 4143845581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jitendra K Baruah Md Sc 19175 Still Point Trl Brookfield WI 53045-4808 Ph: (414) 384-5581 | Jitendra K Baruah Md Sc 3201 S 16th St Suite 200 Milwaukee WI 53215-4537 Ph: (414) 384-5581 |
| NPI Number | 1023224458 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 09/15/2017 |
| Medicare PECOS PAC ID | 2668431453 |
|---|---|
| Medicare Enrollment ID | O20041007000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023224458 | NPI | - | NPPES |
| 30288000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jitendra K Baruah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720143894 PECOS PAC ID: 8729047519 Enrollment ID: I20041008000458 |
Affirmative Reaction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 W Center St Ste 201, Milwaukee, WI 53210 Phone: 414-324-5318 | |
Stepping Stone Behavorial Health Clinic, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7441 W Greenfield Ave, Suite 15, Milwaukee, WI 53214 Phone: 262-951-6969 | |
River's Shore Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3707 N Richards St, Milwaukee, WI 53212 Phone: 414-967-7006 Fax: 414-967-7020 | |
Sj Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7726 N 80th St, Milwaukee, WI 53223 Phone: 414-841-5648 | |
Westcare Wisconsin, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 W Wright St, Milwaukee, WI 53212 Phone: 414-323-0185 | |
New Frontiers Psychiatric Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2675 N Mayfair Rd Ste 400, Milwaukee, WI 53226 Phone: 414-763-6910 Fax: 414-763-6911 | |
Findley Medical Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6114 W Capitol Dr Ste 101, Milwaukee, WI 53216 Phone: 414-988-3079 Fax: 414-982-1211 |