Individual
DR. KUSUMA GOWDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
741 W PERSHING RD, DECATUR, IL 62526
(217) 876-7200
(217) 876-7233
Mailing address
2300 N EDWARD ST, GSBLL, DECATUR, IL 62526-4163
(217) 876-2857
(217) 876-2874
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036052460
IL
Other
Enumeration date
11/06/2006
Last updated
09/18/2014
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