NPI 1003919697
Pushparanee Babusukumar, MD
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
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.