Dr. Sasidharan Ponthenkandath
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Sasidharan Ponthenkandath, M.D. is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Sasidharan Ponthenkandath is
9000 W Wisconsin Ave, Milwaukee, Wisconsin - 53226-3518. He can be contacted on phone at
414-805-3666.
Dr. Sasidharan Ponthenkandath is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Sasidharan Ponthenkandath is
1215132790 which was assigned by NPPES on 15 Jun, 2007 and it was last updated on 09 Jul, 2007.
Dr. Sasidharan Ponthenkandath license number is
28183 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Wisconsin.
Dr. Sasidharan Ponthenkandath is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Sasidharan Ponthenkandath basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Sasidharan Ponthenkandath |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Sasidharan Ponthenkandath address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave
Milwaukee, WI, 53226-3518
United States |
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| Phone Number : | 414-805-3666 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215132790 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jun, 2007 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Sasidharan Ponthenkandath are as mentioned. Primary taxonomy code for Dr. Sasidharan Ponthenkandath, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 28183 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Sasidharan Ponthenkandath such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 559798 | Other | WI | UHC |
| 30783600 | MEDICAID | WI | |
| 137-405-7 | Other | | ECFMG |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 10000 W Innovation Dr
Milwaukee, WI, 53226-4837
United States |
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| Phone Number : | 414-456-5006 |
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| Fax Number : | 414-456-6259 |
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Business Location:
Patients can refer following map for directions to
Dr. Sasidharan Ponthenkandath practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.