Provider Demographics
NPI:1376368514
Name:SANYAL, RISHI
Entity type:Individual
Prefix:
First Name:RISHI
Middle Name:
Last Name:SANYAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1242 FOURIER DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1968
Mailing Address - Country:US
Mailing Address - Phone:608-662-9327
Mailing Address - Fax:
Practice Address - Street 1:1242 FOURIER DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1968
Practice Address - Country:US
Practice Address - Phone:608-662-9327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst