IndividualActive
Ganesh Pulla, M.D
NPI 1679620918 · Nephrology Physician · Kenosha, WI
Provider details
- NPI number
- 1679620918
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 40695 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6125 Green Bay Rd
100
Kenosha, WI 53142-2928
Phone: (262) 564-8636
Fax: (262) 564-8637
Approximate (ZIP-level) locationGet directions
Mailing address
6125 Green Bay Rd
Kenosha, WI 53142-2928
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.