Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LABUTALE WALAWWE RAJAGURU, PA-C
ActiveLABUTALE WALAWWE RAJAGURU, PA-C is a Physician Assistant healthcare provider located in SUPERIOR, Wisconsin. NPI 1346006772 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SUPERIOR, WI
Registration Details
- NPI Number
- 1346006772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2024 (2.4486143522024 yrs)
- Last Updated
- Feb 23, 2024
- Licenses
-
14754 (MN)7735 (WI)
Practice Information
- Address
-
3500 TOWER AVESUPERIOR, WI, 548804491Browse WI providers · Browse ZIP 54880
- Phone
- 7158177100
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| JAMES G POTTER | PA-C | 1669470845 |
| ANNA CHARLOTTE GREINER | P.A.-C | 1790736981 |
| JAY MICHAEL FERGUSON | PA-C | 1174690853 |
| LESLIE ANN ANDERSON | PT | 1578686622 |
| ADAM M WENNERSTEN | PA-C | 1568619682 |
| SARAH LYNN KARL | PA | 1114225174 |
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.