Individual
SHIRIN PILAKKA KANDAKKIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1081 E JOHNSON ST, FOND DU LAC, WI 54935-8919
(920) 367-6700
Mailing address
1414 N TAYLOR DR, SHEBOYGAN, WI 53081-3090
(920) 476-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81083-20
WI
Other
Enumeration date
06/27/2020
Last updated
05/15/2024
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