Individual
DR. GIRIJA G KONDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, DIVISION OF NEONATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6452
(414) 266-6979
Mailing address
9000 W WISCONSIN AVE, DIVISION OF NEONATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6452
(414) 266-6979
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
42144
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008000315B
HUMANA
—
05
—
1407808223
—
WI
05
—
32639600
—
WI
Enumeration date
05/17/2006
Last updated
03/04/2024
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