Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301095009 | MI |
N | 111NI0900X | Internist | 4301095009 | MI |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 62024-20 | WI |
NPI | 1013148204 |
---|---|
Provider Name | Veitla Sankeertha Rao |
First Address | Milwaukee, WI 53209-2042 |
Second Address | Milwaukee, WI 53209-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2009 |
Last Update Date | 06/12/2021 |