NPI 1023272200

Sujan Fernando

Practitioner Diagnostic Radiology Physician Milwaukee, WI

Practice location

Address: 9200 W Wisconsin Ave Department of Radiology, Milwaukee, WI 53226-3522
Phone: (414) 805-3750
Fax: (414) 259-9290

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 54297 (WI)

Other Radiology providers in Wisconsin →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence ME115385 (FL)

Registry record

NPI: 1023272200
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2008
Record last updated: 25 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.