Healthcare Provider Details

I. General information

NPI: 1649634726
Provider Name (Legal Business Name): SONA THINAKARAN COTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N 92ND ST
MILWAUKEE WI
53226-4875
US

IV. Provider business mailing address

N112W15415 MEQUON RD
GERMANTOWN WI
53022-3410
US

V. Phone/Fax

Practice location:
  • Phone: 414-337-7030
  • Fax:
Mailing address:
  • Phone: 262-250-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number69079
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: