Individual
DR. PRERNA RAJ PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVENUE, UROGYNECOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 805-6622
Mailing address
9200 W WISCONSIN AVENUE, UROGYNECOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3666
(414) 805-6622
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
72958
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063754125
—
WI
Enumeration date
03/26/2013
Last updated
11/30/2023
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