Individual
PRADEEP KUMAR MANDYA JAVARAYEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3464
(414) 266-3466
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
81005
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033550298
—
WI
05
—
7100587860
—
KY
Enumeration date
07/16/2013
Last updated
03/12/2024
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