Pandya, Prerna Raj

Pandya, Prerna Raj is an individual health care provider with primary practice located at 9200 W Wisconsin Avenue Urogynecology, Milwaukee WI 53226-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as her primary health care specialty. Pandya, Prerna Raj can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9200 W Wisconsin Avenue Urogynecology Milwaukee WI 53226-3522
Phone: (414) 805-3666
Fax: (414) 805-6622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 72958 Wisconsin

Profile Details

NPI number 1063754125
LBN Legal business name Pandya, Prerna Raj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Nov 30th, 2023 - about 2 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 1063754125 NPPES
Wisconsin MEDICAID 1063754125

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