Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125049669 | IL |
N | 111NI0900X | Internist | 125049669 | IL |
N | 208000000X | Pediatrician | 125049669 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 52709 | WI |
NPI | 1174779664 |
---|---|
Provider Name | Dr. Salil Ginde |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 16/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1174779664 | (05) | WI |