Individual
DR. SRIVIDYA KIDAMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF ENDOCRINOLOGY, MILWAUKEE, WI 53226-3522
(414) 456-6722
(414) 456-6210
Mailing address
9200 W WISCONSIN AVE, DIVISION OF ENDOCRINOLOGY, MILWAUKEE, WI 53226-3522
(414) 456-6722
(414) 456-6210
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
42998-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376614446
—
WI
Enumeration date
11/12/2006
Last updated
06/12/2012
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