Indermohan S Thethi, MD
Internal Medicine in Burlington, WI. Individual provider (NPI-1).
NPI number1982806618
StatusActive
Last updated in NPPESJan 2, 2013
Details
- NPI
- 1982806618
- Entity type
- Individual (NPI-1)
- Name
- Indermohan S Thethi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2007
- Last updated
- Jan 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 125048863 | IL | Yes |
Practice location
252 McHenry StBurlington, WI 53105-1828
Phone 262-767-6100
Mailing address
252 McHenry StBurlington, WI 53105-1828
Phone 262-767-6100
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