Pulakandum, Indira

Pulakandum, Indira is an individual health care provider with primary practice located at 500 S Oakwood Rd , Oshkosh WI 54904-7944. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Pulakandum, Indira can be contacted via phone (920) 223-2000.

Contact Information

Primary practice address
500 S Oakwood Rd Oshkosh WI 54904-7944
Phone: (920) 223-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 47042 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 47042 Wisconsin

Profile Details

NPI number 1790977189
LBN Legal business name Pulakandum, Indira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2007
Last updated Oct 19th, 2010 - about 16 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 1790977189 NPPES
Wisconsin MEDICAID 34925800

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