Basic Information
| Provider Information | |||||||||
| NPI: | 1043519291 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAWLANI | ||||||||
| FirstName: | SHREEMA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | RAMACHANDRAN | ||||||||
| OtherFirstName: | SHREEMA | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | MISS | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | BS | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 4025 N 92ND ST | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532221613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4143585431 | ||||||||
| FaxNumber: | 4143585421 | ||||||||
| Practice Location | |||||||||
| Address1: | 36500 AURORA DR | ||||||||
| Address2: | |||||||||
| City: | SUMMIT | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530664899 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2624341000 | ||||||||
| FaxNumber: | 2624343702 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2011 | ||||||||
| LastUpdateDate: | 03/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 036136149 | IL | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 60242 | WI | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 1043519291 | 05 | WI | MEDICAID |