Kandula, Madan N
Kandula, Madan N is an individual health care provider with primary practice located at 2885 N Mayfair Rd , Milwaukee WI 53222-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kandula, Madan N can be contacted via phone (414) 771-6780.Contact Information
Primary practice address
2885 N Mayfair Rd
Milwaukee WI 53222-4404
Phone: (414) 771-6780
Fax: (414) 238-2424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 44930-020 | Wisconsin |
Profile Details
| NPI number | 1275521288 |
|---|---|
| LBN Legal business name | Kandula, Madan N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Apr 6th, 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 | 1275521288 | NPPES |
| Wisconsin | Other | 20-1759813 | CORPORATION TAX ID |
| Wisconsin | MEDICAID | 34336200 | CORPORATION TAX ID |
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