Individual
KUMKUM CHATTOPADHYAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
VAMC MILWAUKEE 5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 389-4185
Mailing address
VAMC MILWAUKEE 5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
(414) 389-4185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43804
WI
207R00000X
Internal Medicine Physician
Primary
43804
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34158200
—
WI
01
—
P00705301
RR MEDICARE
WI
Enumeration date
07/05/2006
Last updated
11/18/2020
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