Individual
SUMANA DEVATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-4602
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-4602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54086
WI
207RH0000X
Hematology (Internal Medicine) Physician
54086
WI
207RX0202X
Medical Oncology Physician
Primary
54086
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265609564
—
WI
Enumeration date
05/15/2008
Last updated
03/26/2021
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