Dr Sasidharan Ponthenkandath, MD | |
9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 | |
(414) 805-3666 | |
Not Available |
Full Name | Dr Sasidharan Ponthenkandath |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215132790 | NPI | - | NPPES |
137-405-7 | Other | ECFMG | |
30783600 | Medicaid | WI | |
559798 | Other | WI | UHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 28183 (Wisconsin) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811255060 PECOS PAC ID: 8527223304 Enrollment ID: O20120628000360 |
Mailing Address | Practice Location Address |
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Dr Sasidharan Ponthenkandath, MD 10000 W Innovation Dr, Milwaukee, WI 53226-4837 Ph: (414) 456-5006 | Dr Sasidharan Ponthenkandath, MD 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 Ph: (414) 805-3666 |
Sarah Marie Rumler, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-4170 Fax: 414-955-6543 | |
Alison Coren, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-6750 Fax: 414-266-6749 | |
Brandon Palmer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-337-7050 Fax: 414-337-7020 | |
Aidan James Reid, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-266-6800 Fax: 414-337-7068 | |
Dr. Swati Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226 Phone: 414-337-7070 Fax: 414-337-7093 | |
Ms. Michelle Lynn Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-337-7070 Fax: 414-337-7093 | |
Noemi Prieto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8532 W Capitol Dr, Milwaukee, WI 53222 Phone: 414-463-2607 |