Latha Raja Shankar, MD | |
10400 W North Ave, Wauwatosa, WI 53226-2425 | |
(414) 479-2374 | |
Not Available |
Full Name | Latha Raja Shankar |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 26 Years |
Location | 10400 W North Ave, Wauwatosa, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568565646 | NPI | - | NPPES |
34148600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43816 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lovelace Westside Hospital | Albuquerque, NM | Hospital |
Lovelace Women's Hospital | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Medical Associates, Llc | 7214831114 | 307 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | Southwest Medical Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164491072 PECOS PAC ID: 7214831114 Enrollment ID: O20031121000724 |
Entity Name | Molina Care Connections Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20171212002486 |
Mailing Address | Practice Location Address |
---|---|
Latha Raja Shankar, MD 10400 West North Avenue, Wauwatosa, WI 53226 Ph: (414) 479-2374 | Latha Raja Shankar, MD 10400 W North Ave, Wauwatosa, WI 53226-2425 Ph: (414) 479-2374 |
Cheryl Gupta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3820 W Bluemound Rd, Suite 125, Wauwatosa, WI 53213 Phone: 414-302-3800 Fax: 414-302-3813 | |
Dr. Priyanka Kalapurayil Gimbel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336 | |
Jessica Lautmann Lenaghan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226 Phone: 414-771-8228 | |
Dr. Nick William Turkal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1155 N Honey Creek Pkwy, Wauwatosa, WI 53213 Phone: 414-615-5900 Fax: 414-615-5927 | |
Dr. Nicole Ballinger, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213 Phone: 414-454-6600 Fax: 414-454-6766 | |
Daniel Molinaro, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-476-8450 | |
Harold Pennington Ducloux, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 W North Avve Suite 490, Amg Mid-market Urgent Care Group, Wauwatosa, WI 53226 Phone: 414-479-3758 Fax: 414-479-7254 |