Individual
MANDANA KAMGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-0618
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4600
(414) 805-0618
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
70759
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376982264
—
WI
Enumeration date
06/24/2013
Last updated
10/01/2020
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