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Individual

DR. PRASAD SURENDRANATH DALVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 HIGHLAND AVE, CSC - D4/336, MADISON, WI 53792
(608) 265-5243
Mailing address
600 HIGHLAND AVE, D4/336, MADISON, WI 53792
(608) 265-5243

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
50740-020
WI
2085R0204X
Vascular & Interventional Radiology Physician
TRN9650
FL

Other

Enumeration date
06/12/2007
Last updated
01/28/2021
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