IndividualActive
Nusrat Kalloo, MD
NPI 1972557973 · Geriatric Medicine (Internal Medicine) Physician · Grafton, WI
Provider details
- NPI number
- 1972557973
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 5005 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
975 Port Washington Rd
Grafton, WI 53024-9204
Phone: (262) 329-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Additional practice locations (1)
- 6425 W Mequon RdMequon, WI 53092-1855Phone: (262) 236-6602
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.