Bharathi Pulla in Kenosha - Adolescent Medicine
Bharathi Pulla - NPI 1962559302
Bharathi Pulla is a Adolescent Medicine in Kenosha, Wisconsin. Bharathi Pulla practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Bharathi Pulla is 1962559302. The last update date is 2023-06-28.
Bharathi Pulla's current location address is 6125 Green Bay Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2625648636 and fax number 2625648637. The mailing address for Bharathi Pulla is 6125 Green Bay Rd, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bharathi Pulla |
|---|---|
| Address | 6125 Green Bay Rd, Kenosha, Wisconsin |
| Phone Number | 2625648636 |
| Fax Number | 2625648637 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1962559302 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2023-06-28 |
Provider Mailing Address Detail
| Address | 6125 Green Bay Rd |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531422928 |
| Phone Number | 2625648636 |
| Fax Number | 2625648637 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | 41182 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34105600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bharathi Pulla by the Centers for Medicare & Medicaid Services?
The Bharathi Pulla has been issued the NPI (National Provider Identifier) 1962559302 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Bharathi Pulla is physically located?
The Bharathi Pulla is situated at the following address: 6125 Green Bay Rd, Kenosha, WI 531422928.
What is Bharathi Pulla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bharathi Pulla's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962559302 to Bharathi Pulla?
The Centers for Medicare & Medicaid Services originally issued the 1962559302 to Bharathi Pulla on 2007-01-05.
When was the information regarding Bharathi Pulla most recently updated?
The details pertaining to the Bharathi Pulla, including its address, specialty, and other relevant information, were last refreshed on 2023-06-28.
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