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DR. GIRIJA G KONDURI MD

Neonatal-Perinatal Medicine >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1407808223

Individual Registrant:
DR. GIRIJA G KONDURI MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
9000 W WISCONSIN AVE DIVISION OF NEONATOLOGY MILWAUKEE, WI 53226-4874 US
Tel: 414-266-6452  Fax: 414-266-6979

Contact information for business:
9000 W WISCONSIN AVE DIVISION OF NEONATOLOGY MILWAUKEE, WI 53226-4874 US
Tel: 414-266-6452  Fax: 414-266-6979

Registration Information:
NPI: 1407808223
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080N0001XAllopathic & Osteopathic Physicians
Pediatrics
Neonatal-Perinatal Medicine
WI42144

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1407808223WI05
32639600WI05
HUMANA008000315B01




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