Kalloo, Nusrat
Kalloo, Nusrat is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Kalloo, Nusrat can be contacted via phone (262) 329-1000.Contact Information
Primary practice address
975 Port Washington Rd
Grafton WI 53024-9204
Phone: (262) 329-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 5005 | Wisconsin |
Profile Details
| NPI number | 1972557973 |
|---|---|
| LBN Legal business name | Kalloo, Nusrat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Oct 4th, 2023 - about last year |
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 | 1972557973 | NPPES |
| Wisconsin | MEDICAID | 1972557973 | |
| Wisconsin | MEDICAID | 34783800 |
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