MEDICARE: DR. SONYA KIRMANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2016011395	MO
2	2080P0202X	Pediatric Cardiology Physician	2016011395	MO
3	2080P0202X	Pediatric Cardiology Physician	75643-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861712358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SONYA KIRMANI MD

Provider Business Mailing Address
First Line	:	7974 UW HEALTH CT
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53562-5531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-1002
Country	:	US
Telephone Number	:	608-263-6420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	09/22/2021

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