Individual
DR. KUMAR R SANNAGOWDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
9000 W SURA LN, GREENFIELD, WI 53228-3477
(414) 246-6800
(414) 246-6405
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 246-6800
(414) 246-6405
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
57263
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063779601
—
WI
Enumeration date
04/20/2012
Last updated
08/11/2023
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