Kurudiyara, Preetha Y
Kurudiyara, Preetha Y is an individual health care provider with primary practice located at 2701 E Enterprise Ave , Appleton WI 54913-7729. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kurudiyara, Preetha Y can be contacted via phone (920) 954-2551.Contact Information
Primary practice address
2701 E Enterprise Ave
Appleton WI 54913-7729
Phone: (920) 954-2551
Fax: (920) 954-2554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49289 | Wisconsin |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 49289 | Wisconsin |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 49289 | Wisconsin |
Profile Details
| NPI number | 1558567735 |
|---|---|
| LBN Legal business name | Kurudiyara, Preetha Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | May 5th, 2017 - about 8 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 | 1558567735 | NPPES |
| Wisconsin | MEDICAID | 1558567735 |
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