Individual
SIRUS JONATHAN JESUDASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 265-5658
(608) 263-0597
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1013234
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
85862
WI
207RP1001X
Pulmonary Disease Physician
Primary
85862
WI
Other
Enumeration date
03/17/2019
Last updated
07/23/2025
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