Individual
PADMA NANDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 W WISCONSIN AVE, DIVISION OF NEONATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6820
(414) 266-6979
Mailing address
9000 W WISCONSIN AVE, DIVISION OF NEONATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6820
(414) 266-6979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301090534
MI
208000000X
Pediatrics Physician
Primary
56826
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114118338
—
WI
Enumeration date
08/05/2007
Last updated
01/15/2013
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