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Individual

SUNITA KHAMBATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4049
(262) 255-2500
Mailing address
W180N7950 TOWN HALL RD, MENOMONEE FALLS, WI 53051-4049
(262) 255-2500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38031
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32450300
WI
Enumeration date
02/09/2006
Last updated
09/18/2014
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