Dr. Kumar R Sannagowdara
Child Neurologist
9000 W Sura Ln
Greenfield
, Wisconsin 53228-3477
Dr. Kumar R Sannagowdara
Child Neurologist
9000 W Sura Ln
Greenfield
, Wisconsin 53228-3477
(414) 246-6405
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Kumar R Sannagowdara
- 3301 W Forest Home Ave
- Milwaukee, WI
- Zip : 53215-2843
- Fax : (414) 246-6405
- Phone : (414) 246-6800
Second Address
- Dr. Kumar R Sannagowdara
- 9000 W Sura Ln
- Greenfield, WI
- Zip : 53228-3477
- Fax : (414) 246-6405
- Phone : (414) 246-6800
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 57263 | WI |
National Provider Identifier
| NPI | 1063779601 |
|---|---|
| Provider Name | Dr. Kumar R Sannagowdara |
| First Address | Milwaukee, WI 53215-2843 |
| Second Address | Greenfield, WI 53228-3477 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2012 |
| Last Update Date | 18/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1063779601 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.