Organization
SAAK, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMAGOPAL TUMULURI MD (OWNER)
(414) 698-6510
Entity
Organization
Contact information
Practice address
18200 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-1446
(414) 698-6510
Mailing address
18200 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-1446
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
208800000X
Urology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
09/11/2023
Last updated
02/13/2025
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