Individual
DR. INDERVIR SINGH MUNDH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 S 90TH ST, WEST ALLIS, WI 53227
(414) 328-7146
Mailing address
2400 S 90TH ST, WEST ALLIS, WI 53227
(414) 328-7146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
140281
CA
207R00000X
Internal Medicine Physician
63945-20
WI
208M00000X
Hospitalist Physician
Primary
63945-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730422726
—
WI
Enumeration date
03/28/2013
Last updated
05/12/2022
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