Individual
DR. PUSHPARANEE BABUSUKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 30TH AVE, SUITE 201, KENOSHA, WI 53144-1632
(262) 652-7813
(262) 652-4450
Mailing address
3535 30TH AVE, SUITE 201, KENOSHA, WI 53144-1632
(262) 652-7813
(262) 652-4450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33930020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31964500
—
WI
Enumeration date
09/07/2006
Last updated
09/03/2007
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