DR. SRIVIDYA KIDAMBI M.D. NPI 1376614446

NPI Information

NPI: 1376614446
Provider Name: DR. SRIVIDYA KIDAMBI, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Organization: THE MEDICAL COLLEGE OF WISCONSIN INC

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
DIVISION OF ENDOCRINOLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 456-6722
Get Directions

DR. Srividya Kidambi, M.D. is an endocrinology and diabetes and metabolism internal medicine in Milwaukee, WI with 28 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Srividya Kidambi, M.D. NPI is 1376614446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9200 W WISCONSIN AVE
DIVISION OF ENDOCRINOLOGY
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 456-6722
Fax: (414) 456-6210

The NPI 1376614446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2006 and was last updated on 6/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	42998-020	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	736012293	MEDICARE PIN	WISCONSIN
2	H47899	MEDICARE UPIN	WISCONSIN
3	1376614446	MEDICAID	WISCONSIN
4	680861079	MEDICARE PIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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