Individual
DR. ROOMASA CHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
2880 UNIVERSITY AVE, MADISON, WI 53705-3644
(608) 263-7171
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
73867
WI
207WX0107X
Retina Specialist (Ophthalmology) Physician
D79459
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
R6363
TX
Other
Enumeration date
07/08/2011
Last updated
02/08/2021
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