Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUDHAKAR BASETTY, MD
Active Sole ProprietorSUDHAKAR BASETTY, MD is a Adolescent Medicine healthcare provider located in WISCONSIN RAPIDS, Wisconsin. NPI 1518574243 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · WISCONSIN RAPIDS, WI
Registration Details
- NPI Number
- 1518574243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2020 (5.6913947264222 yrs)
- Last Updated
- Oct 1, 2024
- License
-
83167-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 DEWEY STWISCONSIN RAPIDS, WI, 544944715Browse WI providers · Browse ZIP 54494
- Phone
- 7189209892
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.