NPI 1134183783

Venkata K Thota, MD

Practitioner Family Medicine Physician Greenfield, WI

Practice location

Address: 4448 W. Loomis Rd. STE 100, Greenfield, WI 53220-4851
Phone: (414) 281-5150
Fax: (414) 281-5767
Mailing address: PO Box 735044, Chicago, IL 60673-5044

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 28604 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1134183783
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2006
Record last updated: 11 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.