Ganne, Vasundhara
Ganne, Vasundhara is an individual health care provider with primary practice located at 3120 South 27Th Street , Milwaukee WI 53215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Ganne, Vasundhara can be contacted via phone (414) 672-8282.Contact Information
Primary practice address
3120 South 27Th Street
Milwaukee WI 53215
Phone: (414) 672-8282
Fax: (414) 672-8284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 43101 | Wisconsin |
Profile Details
| NPI number | 1053303057 |
|---|---|
| LBN Legal business name | Ganne, Vasundhara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jan 17th, 2022 - 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 | 1053303057 | NPPES |
| Wisconsin | MEDICAID | 34422600 | |
| Wisconsin | MEDICAID | 1053303057 |
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