Male or Other

Sudeepta Dandapat M.D.

Neurology Physician in Milwaukee, WI(View on Map)

Full Name

Sudeepta Dandapat M.D.

NPI Number

1073801882

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/13/2011

Specialties

(Taxonomies)

Code

2084N0400X
2084V0102X

Primary Taxonomy

Yes
No

Licenses

State

Iowa
Wisconsin

License Number

MD-42391
73474

Contact
Information

Purpose

Mailing
Location

Address

3301 W FOREST HOME AVE
2801 W KINNICKINNIC RIVER PKWY STE 680

City

Milwaukee
Milwaukee

State

WI
WI

Postal Code

53215-2843
53215-3633

Country

US
US

Telephone Number

(414) 389-2377
(414) 385-1922

Identifiers

Identifier

100100067

Identifier State

WI

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT
FHIR

Endpoint

sdandapat274545@direct.myadvocateaurora.org
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Endpoint Description

Unknown
Unknown

Use

Direct
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

2801 W Kinnickinnic River Pkwy Ste 680Milwaukee, WI532153633US
2801 W Kinnickinnic River Pkwy Ste 680Milwaukee, WI532153633US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/29/2021

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