Individual
JIGAR PRAKASHCHANDRA MANKAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 385-8780
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036141886
IL
2084N0400X
Neurology Physician
Primary
62970
WI
208M00000X
Hospitalist Physician
62970
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040241
—
WI
Enumeration date
03/23/2013
Last updated
06/19/2025
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