Individual
DR. SRUTHA P RAJKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2323 N LAKE DR, BEHAVIORAL MEDICINE, 7TH FLOOR, MILWAUKEE, WI 53211-4508
(414) 291-1620
(414) 291-5969
Mailing address
2323 N LAKE DR, BEHAVIORAL MEDICINE, 7TH FLOOR, MILWAUKEE, WI 53211-4508
(414) 291-1620
(414) 291-5969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33105-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31867800
—
WI
Enumeration date
10/31/2005
Last updated
06/12/2012
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