Provider Demographics
NPI:1467527457
Name:MUQEET, VAISHNAVI (MD)
Entity Type:Individual
Prefix:DR
First Name:VAISHNAVI
Middle Name:
Last Name:MUQEET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VAISHNAVI
Other - Middle Name:
Other - Last Name:MUQEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:14925 W SAN MATEO DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-4348
Mailing Address - Country:US
Mailing Address - Phone:414-433-1668
Mailing Address - Fax:
Practice Address - Street 1:5000 W NATIONAL AVE
Practice Address - Street 2:SCI DIVISION
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295-0001
Practice Address - Country:US
Practice Address - Phone:414-828-3076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48055020208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation