Individual provider · NPI-1
David P Al-Adra, MD
Transplant Surgery · Madison, WI
NPI number1093224776
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1093224776
- Entity type
- Individual (NPI-1)
- Name
- David P Al-Adra
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2017
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204F00000X | Transplant Surgery | 67508 | WI | Yes |
| 208600000X | Surgery | 67508 | WI |
Practice location
600 Highland AveMadison, WI 53792-0001
Phone 608-263-1384 · Fax 608-262-5624
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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