Pulla, Bharathi

Pulla, Bharathi is an individual health care provider with primary practice located at 6125 Green Bay Rd , Kenosha WI 53142-2928. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Pulla, Bharathi can be contacted via phone (262) 564-8636.

Contact Information

Primary practice address
6125 Green Bay Rd Kenosha WI 53142-2928
Phone: (262) 564-8636
Fax: (262) 564-8637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 41182 Wisconsin
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 41182 Wisconsin

Profile Details

NPI number 1962559302
LBN Legal business name Pulla, Bharathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 28th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962559302 NPPES
Wisconsin MEDICAID 34105600

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