Masool Tondkar, Farzaneh
Masool Tondkar, Farzaneh is an sole proprietor health care provider with primary practice located at 10731 W Forest Home Ave , Hales Corners WI 53130-2555. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Masool Tondkar, Farzaneh can be contacted via phone (414) 529-4600.Contact Information
Primary practice address
10731 W Forest Home Ave
Hales Corners WI 53130-2555
Phone: (414) 529-4600
Fax: (414) 529-4689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 52372020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 52372020 | Wisconsin |
Profile Details
| NPI number | 1689811861 |
|---|---|
| LBN Legal business name | Masool Tondkar, Farzaneh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2009 |
| Last updated | Oct 3rd, 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 | 1689811861 | NPPES |
| Wisconsin | MEDICAID | 1434 |
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