Individual
DR. SUMANA KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18200 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-1446
(262) 444-5148
(262) 444-5457
Mailing address
18200 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-1446
(262) 444-5148
(262) 444-5457
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36975
WI
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
36975
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942252762
—
WI
Enumeration date
05/17/2006
Last updated
01/09/2024
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