Individual
DR. LOGANATHAN ELANGOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 SENTRY DR STE 140, WAUKESHA, WI 53186-5990
(262) 524-1024
(262) 524-8767
Mailing address
1260 SENTRY DR STE 140, WAUKESHA, WI 53186-5990
(262) 524-1024
(262) 524-8767
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
40898-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32616600
—
WI
Enumeration date
07/18/2006
Last updated
12/22/2020
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