Elangovan, Loganathan
Elangovan, Loganathan is an individual health care provider with primary practice located at 1260 Sentry Dr Ste 140 , Waukesha WI 53186-5990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Elangovan, Loganathan can be contacted via phone (262) 524-1024.Contact Information
Primary practice address
1260 Sentry Dr Ste 140
Waukesha WI 53186-5990
Phone: (262) 524-1024
Fax: (262) 524-8767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 40898-020 | Wisconsin |
Profile Details
| NPI number | 1477572881 |
|---|---|
| LBN Legal business name | Elangovan, Loganathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Dec 22nd, 2020 - about 4 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 | 1477572881 | NPPES |
| Wisconsin | MEDICAID | 32616600 |
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