Individual
SOUJANYA NUTHAKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10400 W NORTH AVE STE 300, WAUWATOSA, WI 53226-2425
(414) 771-7470
Mailing address
1300 N PROSPECT AVE, APT 200, MILWAUKEE, WI 53202-3022
(414) 771-7470
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
52092
WI
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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