Ponthenkandath, Sasidharan

Ponthenkandath, Sasidharan is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Ponthenkandath, Sasidharan can be contacted via phone (414) 805-3666.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-3518
Phone: (414) 805-3666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 28183 Wisconsin

Profile Details

NPI number 1215132790
LBN Legal business name Ponthenkandath, Sasidharan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 9th, 2007 - about 18 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 1215132790 NPPES
Other 137-405-7 ECFMG
MEDICAID 30783600 ECFMG
Other 559798 ECFMG

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