Gandhavadi, Ranjini B
Gandhavadi, Ranjini B is an individual health care provider with primary practice located at 2350 N Lake Dr Suite G01, Milwaukee WI 53211-4528. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Gandhavadi, Ranjini B can be contacted via phone (414) 291-1556.Contact Information
Primary practice address
2350 N Lake Dr Suite G01
Milwaukee WI 53211-4528
Phone: (414) 291-1556
Fax: (414) 291-1557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 22791-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 22791-020 | Wisconsin |
Profile Details
| NPI number | 1518958057 |
|---|---|
| LBN Legal business name | Gandhavadi, Ranjini B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jun 11th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518958057 | NPPES |
| Wisconsin | Other | 920005883 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 30456100 | RAILROAD MEDICARE |
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