DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MUSTAFA SYED BADRUDDUJA, MD

Active

General Surgery · KENOSHA, WI

Registration Details

NPI Number
1083744486
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2007 (19.126826318199 yrs)
Last Updated
Nov 8, 2011
Licenses
35.087678 (OH)
51809 (WI)

Practice Information

Address
6308 8TH AVE
SUITE 3050
KENOSHA, WI, 531435031
Browse WI providers · Browse ZIP 53143
Phone
2626547002
Fax
2626546822
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in KENOSHA, WI

Name Credential NPI
JODI L BREHM MD 1649216045
DR. ROGER THOMAS PACANOWSKI M.D. 1720112030
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.