Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | TEP | NE |
N | 208600000X | Surgeon | TEP | NE |
Y | 2086X0206X | Surgical Oncologist | 54932 | WI |
N | 2086X0206X | Surgical Oncologist | TRN12270 | FL |
NPI | 1346455813 |
---|---|
Provider Name | Dr. Kiran K Turaga |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 15/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1346455813 | (05) | WI |