Lall, Madhulika

Lall, Madhulika is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lall, Madhulika can be contacted via phone (920) 926-8332.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (920) 926-8332
Fax: (920) 926-8370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101235949 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 60163 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0087838 Maryland

Profile Details

NPI number 1821009838
LBN Legal business name Lall, Madhulika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 1st, 2023 - about last year

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 1821009838 NPPES
Other 146132 ANTHEM/BCBS
Other 310269 ANTHEM/BCBS
Other 3810000340 ANTHEM/BCBS
MEDICAID 1821009838 ANTHEM/BCBS
Other 9309526 ANTHEM/BCBS
Other 1000870001 ANTHEM/BCBS
MEDICAID 010086272 ANTHEM/BCBS
Other P00193964 ANTHEM/BCBS
Other 79389 ANTHEM/BCBS

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