Koduri, Sumana

Koduri, Sumana is an individual health care provider with primary practice located at 18200 W Capitol Dr Ste 200 , Brookfield WI 53045-1446. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Koduri, Sumana can be contacted via phone (262) 444-5148.

Contact Information

Primary practice address
18200 W Capitol Dr Ste 200 Brookfield WI 53045-1446
Phone: (262) 444-5148
Fax: (262) 444-5457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 36975 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 36975 Wisconsin

Profile Details

NPI number 1942252762
LBN Legal business name Koduri, Sumana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 9th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942252762 NPPES
Wisconsin MEDICAID 1942252762

Popular Providers