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Individual

DR. RAGHU CHANDRA GOWDA HANUMAIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
W180N8085 TOWN HALL RD, INTERNAL MEDICINE HOSPITALIST, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
Mailing address
W180N8085 TOWN HALL RD, INTERNAL MEDICINE HOSPITALIST, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301090168
MI
207R00000X
Internal Medicine Physician
Primary
57006
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194916445
WI
Enumeration date
08/01/2007
Last updated
07/07/2014
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