Individual
DR. SONIA BOPARAI GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3122
(414) 805-3777
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3122
(414) 805-3777
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
47769-020
WI
2085R0202X
Diagnostic Radiology Physician
Primary
47769
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-500-064-1
ECFMG
—
05
—
1447333232
—
WI
Enumeration date
10/23/2006
Last updated
11/06/2013
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