Individual
DR. KIRAN NAGENAHALLI CHANDRASHEKARAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, DEPT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301094764
MI
207L00000X
Anesthesiology Physician
Primary
62255
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689907867
—
WI
Enumeration date
09/06/2009
Last updated
06/20/2014
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