Pradeep Gopi Kumar
Adolescent Medicine
8348 Washington Ave
Mount Pleasant
, Wisconsin 53406-3733
Pradeep Gopi Kumar
Adolescent Medicine
8348 Washington Ave
Mount Pleasant
, Wisconsin 53406-3733
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Pradeep Gopi Kumar
- 4837 Lathrop Ave
- Racine, WI
- Zip : 53403-9706
- Phone :
Second Address
- Pradeep Gopi Kumar
- 8348 Washington Ave
- Mount Pleasant, WI
- Zip : 53406-3733
- Phone : (262) 884-4000
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 41877 | WI |
National Provider Identifier
| NPI | 1164463261 |
|---|---|
| Provider Name | Pradeep Gopi Kumar |
| First Address | Racine, WI 53403-9706 |
| Second Address | Mount Pleasant, WI 53406-3733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 06/01/2022 |
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.