Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 52034 | WI |
N | 207YP0228X | Pediatric Otolaryngology | 52034 | WI |
Y | 207YS0123X | Facial Plastic Surgeon | 52034-20 | WI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 52034-20 | WI |
NPI | 1457479297 |
---|---|
Provider Name | Dr. Sachin S. Pawar |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 02/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1457479297 | (05) | WI |