Sannagowdara, Kumar R

Sannagowdara, Kumar R is an individual health care provider with primary practice located at 9000 W Sura Ln , Greenfield WI 53228-3477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Sannagowdara, Kumar R can be contacted via phone (414) 246-6800.

Contact Information

Primary practice address
9000 W Sura Ln Greenfield WI 53228-3477
Phone: (414) 246-6800
Fax: (414) 246-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 57263 Wisconsin

Profile Details

NPI number 1063779601
LBN Legal business name Sannagowdara, Kumar R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063779601 NPPES
Wisconsin MEDICAID 1063779601

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