Gowda Hanumaiah, Raghu Chandra
Gowda Hanumaiah, Raghu Chandra is an individual health care provider with primary practice located at W180N8085 Town Hall Rd Internal Medicine Hospitalist, Menomonee Falls WI 53051-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gowda Hanumaiah, Raghu Chandra can be contacted via phone (262) 251-1000.Contact Information
Primary practice address
W180N8085 Town Hall Rd Internal Medicine Hospitalist
Menomonee Falls WI 53051-3518
Phone: (262) 251-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301090168 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57006 | Wisconsin |
Profile Details
| NPI number | 1194916445 |
|---|---|
| LBN Legal business name | Gowda Hanumaiah, Raghu Chandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Jul 7th, 2014 - about 10 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 | 1194916445 | NPPES |
| Wisconsin | MEDICAID | 1194916445 |
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