Idichandy, Christy Ann

Idichandy, Christy Ann is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Idichandy, Christy Ann can be contacted via phone (414) 805-8700.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Fax: (414) 259-1522
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 69619 Wisconsin
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 69619 Wisconsin

Profile Details

NPI number 1275876898
LBN Legal business name Idichandy, Christy Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Jan 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275876898 NPPES
Wisconsin MEDICAID 1275876898

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