Setty, Sampoornima

Setty, Sampoornima is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Setty, Sampoornima can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (608) 782-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07939300 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 51182-020 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 51182 Wisconsin

Profile Details

NPI number 1851398283
LBN Legal business name Setty, Sampoornima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 2nd, 2020 - about 5 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 1851398283 NPPES
New Jersey MEDICAID 0079545

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