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Contact Information

CHRISTY A IDICHANDY, MD
9200 W WISCONSIN AVE
MILWAUKEE, WI53226-3522
 Phone: 414-805-8700
 Fax: 414-259-1522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CHRISTY A IDICHANDY · (Female)

NPI # 1275876898
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2013
Last updated 01/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 69619
  • WI Medicaid 1275876898
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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