IndividualActive
Kumar Sannagowdara, M D
NPI 1063779601 · Neurology with Special Qualifications in Child Neurology Physician · Greenfield, WI
Provider details
- NPI number
- 1063779601
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M D
- Sex
- Male
- Sole proprietor
- No
- License
- 57263 (WI)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 57263 (WI)
Allopathic & Osteopathic Physicians
Practice location
9000 W Sura Ln
Greenfield, WI 53228-3477
Phone: (414) 246-6800
Fax: (414) 246-6405
Approximate (ZIP-level) locationGet directions
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Additional practice locations (2)
- 9000 W Wisconsin AvePediatric NeurologyMilwaukee, WI 53226-4874Phone: (414) 266-3464Fax: (414) 266-3466
- 12500 Aurora DrPleasant Prairie, WI 53158-1227Phone: (262) 857-5000Fax: (262) 857-5001
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2023-08-11
- Certified
- 2023-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.