Individual
RITWICK SHANMUKHA MYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UW HOSPITALS & CLINICS 600 HIGHLAND AVE, MADISON, WI 53792-1465
(608) 263-6400
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
100361851
WI
207R00000X
Internal Medicine Physician
Primary
85308-20
WI
Other
Enumeration date
04/19/2023
Last updated
03/09/2025
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