NPI 1114174000

Soujanya Nuthakki, MD

Practitioner Nuclear Medicine Physician Wauwatosa, WI

Practice location

Address: 10400 W North Ave STE 300, Wauwatosa, WI 53226-2425
Phone: (414) 771-7470
Mailing address: 1300 N Prospect Ave APT 200, Milwaukee, WI 53202-3022

Registered specialties

Nuclear Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 52092 (WI)

Other Nuclear Medicine providers in Wisconsin →

Registry record

NPI: 1114174000
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2008
Record last updated: 21 Aug 2008

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.