Individual
DR. HYMAVATHI PADMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66233
WI
207R00000X
Internal Medicine Physician
PENDING
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66233
WI STATE LICENSE
WI
Enumeration date
07/17/2008
Last updated
11/04/2016
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