Individual
DR. SRI SANKAR CHINTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 266-2625
(414) 266-2635
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2625
(414) 266-2635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2010020728
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2010020728
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
69400
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760643811
—
MO
05
—
1760643811
—
WI
05
—
ENROLLED
—
IL
Enumeration date
06/21/2008
Last updated
07/10/2018
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