Kurudiyara, Preetha Y

Kurudiyara, Preetha Y is an individual health care provider with primary practice located at 2701 E Enterprise Ave , Appleton WI 54913-7729. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kurudiyara, Preetha Y can be contacted via phone (920) 954-2551.

Contact Information

Primary practice address
2701 E Enterprise Ave Appleton WI 54913-7729
Phone: (920) 954-2551
Fax: (920) 954-2554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49289 Wisconsin
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 49289 Wisconsin
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 49289 Wisconsin

Profile Details

NPI number 1558567735
LBN Legal business name Kurudiyara, Preetha Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated May 5th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558567735 NPPES
Wisconsin MEDICAID 1558567735

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