DR. MADAN N KANDULA (NPI# 1275521288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275521288 |
| Entity Type | Individual |
| Full Name | DR. MADAN N KANDULA |
| Credential | M.D. |
| Practice Address |
2885 N Mayfair Rd Milwaukee WI 53222-4404 |
| Practice Telephone | 4147716780 |
| Practice Fax Number | 4142382424 |
| Mailing Telephone | 4147716780 |
| Mailing Fax Number | 4142382424 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 44930-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CORPORATION TAX ID | 20-1759813 | 01 |
| WI | 34336200 | 05 |
| Street Address |
2885 N MAYFAIR RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53222-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114470481 | Jennifer Stengrevics | Physician Assistant | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2016-08-03 |
| 1033595244 | Kelsey Hopping | Physician Assistant | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2015-08-11 |
| 1316224983 | Matthew E Peters | Nurse Practitioner | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2011-11-10 |
| 1306156021 | Ellyn M Szewczyk | Audiologist | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2010-10-15 |
| 1639309057 | Tiffany L Fontaine | Physician Assistant | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2009-07-20 |
| 1831359801 | Ethan B. Handler | Otolaryngology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2008-06-13 |
| 1053403766 | Hillary Lee Hinkson | Physician Assistant | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2006-09-29 |
| 1689782427 | Advanced Ear Nose & Throat Specialists, Sc | Audiologist | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2006-08-29 |
| 1619990769 | Kimberly S Knudsen | Audiologist-Hearing Aid Fitter | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2006-07-26 |
| 1114999638 | Melissa L Chudnow | Allergy & Immunology | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104156 | Alliance Ent and Hearing Center, Sc | Otolaryngology | 2524 E Webster Place, Suite 201, Milwaukee, WI 53211-4257 | 2020-11-04 |
| 1962969915 | Alliance Ent & Hearing Center, S.c. | Otolaryngology | 2500 W Layton Ave Ste 230, Milwaukee, WI 53221-5421 | 2019-02-26 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1881819092 | Ent Associates Sc | Otolaryngology | 2315 N Lake Dr Ste 1005, Milwaukee, WI 53211-4516 | 2007-04-14 |
| 1306930888 | Linda J Dindzans | Otolaryngology | 8532 W. Capitol Dr., Suite L100, Milwaukee, WI 53222 | 2006-10-02 |
| 1376500884 | Martin E Samuel | Otolaryngology | 2741 W Layton Avenue, Suite 206, Milwaukee, WI 53221-2600 | 2006-04-27 |
| 1184626475 | S. Fredric Horwitz I | Otolaryngology | 2350 W Villard Ave, # 207, Milwaukee, WI 53209-5086 | 2005-06-01 |
| 1952806788 | Kaleigh Alexis Stabenau | Otolaryngology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2018-03-26 |
| 1366963340 | Adam Clayton Thompson-harvey | Otolaryngology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-06-29 |
| 1730610692 | Axel Shum | Otolaryngology | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-03-22 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.