Individual
DR. PREETHA Y KURUDIYARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 306-7120
(414) 672-6026
Mailing address
17820 HICKORY CT, BROOKFIELD, WI 53045-5010
(414) 559-6924
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49289
WI
2080A0000X
Pediatric Adolescent Medicine Physician
49289
WI
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
49289
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558567735
—
WI
Enumeration date
06/25/2007
Last updated
09/11/2025
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