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Bharathi Pulla, MD
Adolescent Medicine (Family Medicine) Physician in Kenosha, Wisconsin
NPI 1962559302

Bharathi Pulla is an Adolescent Medicine (Family Medicine) Physician based in Kenosha, WI and is specialized in Adolescent Medicine. Bharathi Pulla practices in Kenosha, WI and has the professional credentials of MD. The NPI Number for Bharathi Pulla is 1962559302 and holds a License No. 41182 (Wisconsin).

The current practice location address for Bharathi Pulla is 6125 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-564-8636 and via fax at 262-564-8637.

Location: 6125 Green Bay Rd, Kenosha, WI, 53142-2928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962559302
Provider Name
Bharathi Pulla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6125 Green Bay Rd, Kenosha, WI, 53142-2928
Phone Number
262-564-8636
Fax Number
262-564-8637
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34105600 05 WI
institution
Provider Business Practice Location Address Details
Address
6125 Green Bay Rd
City
Kenosha
State
Wisconsin
Zip
53142-2928
Phone Number
262-564-8636
Fax Number
262-564-8637
person
Provider Business Mailing Address Details
Address
6125 Green Bay Rd
City
Kenosha
State
Wisconsin
Zip
53142-2928
Phone Number
262-564-8636
Fax Number
262-564-8637
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
41182 (Wisconsin)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
41182 (Wisconsin)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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institution
Surya Medical Group Sc
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Adolescent Medicine (Family Medicine) Physician
6125 Green Bay Rd,
KENOSHA, WI
53142-2928
262-564-8636
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