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-- RANJINI B GANDHAVADI -- M.D.

Individual Provider (NPI-1) Active

Provider Information

NPI Number
1518958057
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
2350 N LAKE DR SUITE G01, MILWAUKEE, WI, 532114528
Phone
(414) 291-1556
Fax
(414) 291-1557

Specialties & Taxonomies

Unknown Primary License: WI #22791-020
Radiology, Therapeutic Radiology License: WI #22791-020

All Addresses

MAILING

4425 N PORT WASHINGTON RD ATTN: CSMCP CLINIC CREDENTIALING

GLENDALE, WI, 532121082

(414) 291-1556

LOCATION

2350 N LAKE DR SUITE G01

MILWAUKEE, WI, 532114528

(414) 291-1556