Individual
VASANTH K. SIDDALINGAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 247-4625
(414) 247-4589
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 247-4625
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
45454
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34363200
—
WI
01
—
P00602497
RR MEDICARE
WI
Enumeration date
07/04/2006
Last updated
08/18/2023
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