Individual
DHANALAKSHMI S NAMASIVAYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 SO PARK ST, MADISON, WI 53715
(608) 417-6103
(608) 417-5934
Mailing address
202 SO PARK ST, MERITER HOSPITAL, MADISON, WI 53715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-114703
IL
207R00000X
Internal Medicine Physician
Primary
50690-20
WI
208M00000X
Hospitalist Physician
50690-20
WI
Other
Enumeration date
06/20/2007
Last updated
02/11/2013
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