Whalio Doctors

NPI 1003919697

Pushparanee Babusukumar, MD

Practitioner Psychiatry Physician Kenosha, WI

Practice location

Address
3535 30th Ave Suite 201, Kenosha, WI 53144-1632
Phone
(262) 652-7813
Fax
(262) 652-4450

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 33930020 (WI)

Registry record

NPI
1003919697
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Sep 2006
Record last updated
3 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.