Individual
DR. DEENA M ATHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
250291
NY
207RI0200X
Infectious Disease Physician
Primary
342980
LA
207RI0200X
Infectious Disease Physician
62342
MN
207RI0200X
Infectious Disease Physician
67604-20
WI
207RI0200X
Infectious Disease Physician
MD434629
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172481
—
NJ
05
—
1021972300001
—
PA
Enumeration date
04/23/2008
Last updated
10/07/2024
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