Organization
ADVANCED EAR NOSE & THROAT SPECIALISTS, SC
Active
Organization
ADVANCED EAR NOSE & THROAT SPECIALISTS, SC
Active
Other names
ADVENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADAN N KANDULA MD (CEO)
(888) 938-3838
Entity
Organization
Contact information
Practice address
2885 N MAYFAIR RD, MILWAUKEE, WI 53222-4404
(888) 889-3838
Mailing address
10001 W INNOVATION DR STE 200, WAUWATOSA, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
44930 020
WI
231H00000X
Audiologist
434 156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34336200
—
WI
Enumeration date
08/29/2006
Last updated
10/26/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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