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Individual
DR. SUSHMA BANGALORE RAJU
Active
Individual
DR. SUSHMA BANGALORE RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301093946
MI
207R00000X
Internal Medicine Physician
57608
WI
208M00000X
Hospitalist Physician
Primary
57608
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912138199
—
WI
Enumeration date
08/05/2009
Last updated
03/15/2023
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