Bangalore Raju, Sushma
Bangalore Raju, Sushma is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Internal Medicine Hospitalist Division, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Bangalore Raju, Sushma can be contacted via phone (414) 955-0350.Contact Information
Primary practice address
9200 W Wisconsin Ave Internal Medicine Hospitalist Division
Milwaukee WI 53226-3522
Phone: (414) 955-0350
Fax: (414) 805-0988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57608 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301093946 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 57608 | Wisconsin |
Profile Details
| NPI number | 1912138199 |
|---|---|
| LBN Legal business name | Bangalore Raju, Sushma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Mar 15th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912138199 | NPPES |
| Wisconsin | MEDICAID | 1912138199 |
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