Search › Wisconsin › 207RE0101X
Boby Theckedath, M.D
NPI 1194788315 · on the registry since 2006
Practice
- Address
- 8400 Washington Ave
Mount Pleasant, WI 53406 - Phone
- (262) 884-4000
- Fax
- (262) 884-4177
- Organisation at this address
- Aurora Pharmacy Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 52
Additional practice sites
- 1151 Warwick Way, Racine, WI
- 9350 Us Highway 23 S, Stanville, KY
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207RE0101X
- Licence states on file
- KY, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin