Individual
ANKITA SUBEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST # 238, BOSTON, MA 02111-1552
(617) 636-7010
(617) 636-7100
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 288-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1019788
MA
208M00000X
Hospitalist Physician
73629
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102363
—
WI
Enumeration date
07/14/2015
Last updated
08/22/2024
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