Dandapat, Sudeepta
Dandapat, Sudeepta is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 680 , Milwaukee WI 53215-3633. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Dandapat, Sudeepta can be contacted via phone (414) 385-1922.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy Ste 680
Milwaukee WI 53215-3633
Phone: (414) 385-1922
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD-42391 | Iowa |
Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD-42391 | Iowa |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 73474 | Wisconsin |
Profile Details
NPI number | 1073801882 |
---|---|
LBN Legal business name | Dandapat, Sudeepta |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2011 |
Last updated | Dec 29th, 2021 - about 3 years ago |
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 | 1073801882 | NPPES |
Wisconsin | MEDICAID | 100100067 |
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