Dr Mustafa Syed Badrudduja, MD | |
6308 8th Ave, Suite 3050, Kenosha, WI 53143-5031 | |
(262) 654-7002 | |
(262) 654-6822 |
Full Name | Dr Mustafa Syed Badrudduja |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 16 Years |
Location | 6308 8th Ave, Kenosha, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083744486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35.087678 (Ohio) | Secondary |
208600000X | Surgery | 51809 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital System | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jandali Surgical Associates Sc | 2860461811 | 2 |
Entity Name | Jandali Surgical Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528101433 PECOS PAC ID: 2860461811 Enrollment ID: O20040928000126 |
Mailing Address | Practice Location Address |
---|---|
Dr Mustafa Syed Badrudduja, MD 6308 8th Ave, Suite 3050, Kenosha, WI 53143-5031 Ph: (262) 654-7002 | Dr Mustafa Syed Badrudduja, MD 6308 8th Ave, Suite 3050, Kenosha, WI 53143-5031 Ph: (262) 654-7002 |
Timothy B Lesage, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7380 | |
Jodi L Brehm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-648-5600 Fax: 262-948-5735 | |
Dr. Roger Thomas Pacanowski, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-8217 |