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Contact Information

SUDEEP S SODHI, MD
1550 MIDWAY PL
MENASHA, WI54952-1165
 Phone: 920-727-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for SUDEEP S SODHI · (Male)

NPI # 1679567606
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2005
Last updated 12/11/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 42404
  • WI Medicaid 33333400
Hospital affiliation(s)
  • CALUMET MEDICAL CTR - (Critical Access)
    614 MEMORIAL DRIVE
    CHILTON, WI 53014
  • ST ELIZABETH HSPTL - (Acute Care)
    1506 S ONEIDA ST
    APPLETON, WI 54915
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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