Dr Kumar R Sannagowdara, M D | |
9000 W Sura Ln, Greenfield, WI 53228-3477 | |
(414) 246-6800 | |
(414) 246-6405 |
Full Name | Dr Kumar R Sannagowdara |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 9000 W Sura Ln, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063779601 | NPI | - | NPPES |
1063779601 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 57263 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Dr Kumar R Sannagowdara, M D 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 246-6800 | Dr Kumar R Sannagowdara, M D 9000 W Sura Ln, Greenfield, WI 53228-3477 Ph: (414) 246-6800 |
Dr. Maxine J Minto, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3365 S 103 Rd St, Suite 210, Greenfield, WI 53227 Phone: 414-266-3339 Fax: 414-266-3735 | |
Dr. Gregory Andrew Burek, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4455 S 108th St, Greenfield, WI 53228 Phone: 414-427-5310 Fax: 414-427-5311 | |
Dr. Scott Wiener, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8777 W Forest Home Ave, Greenfield, WI 53228 Phone: 206-785-1015 Fax: 206-785-1023 |