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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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