Individual
DR. PUSHPA VEERANNA PALLAGATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M D
Contact information
Practice address
4855 S MOORLAND RD, 3RD FLOOR, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60332
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407116395
—
WI
Enumeration date
05/24/2012
Last updated
10/29/2014
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