DR. PREETHA Y KURUDIYARA MD NPI 1558567735

NPI Information

  • NPI: 1558567735
  • Provider Name: DR. PREETHA Y KURUDIYARA, MD
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • Address: 1610 MILLER PARK WAY
    WEST MILWAUKEE, WI
    ZIP 53214
  • Phone: (414) 306-7120

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NPI Details

DR. Preetha Y Kurudiyara, MD is an addiction medicine preventive medicine in West Milwaukee, WI. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Preetha Y Kurudiyara, MD NPI is 1558567735. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1610 MILLER PARK WAY
WEST MILWAUKEE, WI
ZIP 53214-604
Phone: (414) 306-7120
Fax: (414) 672-6026

The enumeration date for this NPI number is 6/25/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083A0300XPreventive MedicineAddiction Medicine49289WISCONSINYes
2208000000XPediatrics49289WISCONSINNo
32080A0000XPediatricsAdolescent Medicine49289WISCONSINNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11558567735MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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