Gowdar, Kusuma
Gowdar, Kusuma is an individual health care provider with primary practice located at 741 W Pershing Rd , Decatur IL 62526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gowdar, Kusuma can be contacted via phone (217) 876-7200.Contact Information
Primary practice address
741 W Pershing Rd
Decatur IL 62526
Phone: (217) 876-7200
Fax: (217) 876-7233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036052460 | Illinois |
Profile Details
| NPI number | 1669541728 |
|---|---|
| LBN Legal business name | Gowdar, Kusuma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Sep 18th, 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.
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