Individual
DR. SRIDHAR RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 456-6543
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-2420
(414) 456-6543
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
55842-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528039849
—
WI
Enumeration date
01/27/2006
Last updated
01/17/2012
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