Benny Kusuma is a Internal Medicine in La Crosse, Wisconsin. Benny Kusuma practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Benny Kusuma is 1073734133. The last update date is 2016-02-08.
Benny Kusuma's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300. The mailing address for Benny Kusuma is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benny Kusuma |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073734133 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2016-02-08 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546015429 |
| Phone Number | 6087827300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 6295 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identification code assigned to Benny Kusuma by the Centers for Medicare & Medicaid Services?
The Benny Kusuma has been issued the NPI (National Provider Identifier) 1073734133. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Benny Kusuma's physical address?
The Benny Kusuma is physically located at 1836 South Ave, in the city of La Crosse, WI, with the postal code 546015429.
What is the Benny Kusuma's area of specialization and corresponding taxonomy classification?
The Benny Kusuma's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073734133 to Benny Kusuma?
The Centers for Medicare & Medicaid Services originally issued the 1073734133 to Benny Kusuma on 2007-05-02.
As of what date were the details pertaining to Benny Kusuma last refreshed?
The information related to the Benny Kusuma, including its address, specialty, and other relevant details, was last updated on 2016-02-08.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH