Individual
INDIRA PULAKANDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-2000
Mailing address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47042
WI
208M00000X
Hospitalist Physician
47042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34925800
—
WI
Enumeration date
08/09/2007
Last updated
10/19/2010
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