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Individual

DR. PRIYANKA A POPHALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 265-1700
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.020726
OH
207RH0000X
Hematology (Internal Medicine) Physician
59216
MN
207RH0003X
Hematology & Oncology Physician
59216
MN
207RH0003X
Hematology & Oncology Physician
Primary
70768
WI

Other

Enumeration date
04/30/2012
Last updated
01/19/2021
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