Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301101168 | MI |
Y | 2080P0208X | Pediatric Infectious Diseases | 62871 | WI |
NPI | 1659620086 |
---|---|
Provider Name | Dr. Sindhu Mohandas |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53226-4874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 05/10/2017 |