Individual
LATHA RAJA SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10400 W NORTH AVE, WAUWATOSA, WI 53226-2425
(414) 479-2374
Mailing address
10400 WEST NORTH AVENUE, WAUWATOSA, WI 53226
(414) 479-2374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43816
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34148600
—
WI
Enumeration date
09/06/2006
Last updated
06/22/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us