Individual
SUMAIYA KHONDKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
Mailing address
3200 S PINEWOOD CREEK CT APT 302, NEW BERLIN, WI 53151-9408
(404) 372-1036
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
83911
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2015
Last updated
07/14/2021
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