Individual
SUBARNA MANI DHITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 263-5010
(608) 833-6935
Mailing address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 263-5010
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
54518
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356518047
—
WI
Enumeration date
05/12/2008
Last updated
02/02/2021
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