Individual
DR. KAVITA RATARASARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-3850
Mailing address
9200 W WISCONSIN AVE, DIVISION OF PULMONARY DISEASE, MILWAUKEE, WI 53226-3522
(414) 805-6633
(414) 805-3850
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42261
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007906261R
HUMANA
—
05
—
1407808157
—
WI
Enumeration date
05/17/2006
Last updated
02/13/2014
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