Adusumilli, Tanvi
Adusumilli, Tanvi is an individual health care provider with primary practice located at 8400 Washington Ave , Mount Pleasant WI 53406-3735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Adusumilli, Tanvi can be contacted via phone (262) 884-4088.Contact Information
Primary practice address
8400 Washington Ave
Mount Pleasant WI 53406-3735
Phone: (262) 884-4088
Fax: (262) 884-4078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-23222 | Hawaii |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 81354 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2950671 | New York |
Profile Details
| NPI number | 1861888307 |
|---|---|
| LBN Legal business name | Adusumilli, Tanvi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2015 |
| Last updated | Mar 27th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861888307 | NPPES |
| Wisconsin | MEDICAID | 100222486 |
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