Individual
PRIYA PAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY, MILWAUKEE, WI 53226-4874
(414) 337-7140
(414) 337-7145
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY, MILWAUKEE, WI 53226-4874
(414) 337-7140
(414) 337-7145
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
036-113257
IL
2080P0210X
Pediatric Nephrology Physician
Primary
46643
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255514212
—
WI
05
—
35137400
—
WI
Enumeration date
12/13/2007
Last updated
06/29/2012
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