Provider Demographics
NPI:1568413839
Name:KAKUMANU, SUJANI (MD)
Entity Type:Individual
Prefix:
First Name:SUJANI
Middle Name:
Last Name:KAKUMANU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF WISCONSIN HOSPITAL
Mailing Address - Street 2:600 HIGHLAND AVE H4/831-8320
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:608-263-0572
Mailing Address - Fax:608-263-9830
Practice Address - Street 1:UNIVERSITY OF WISCONSIN HOSPITAL
Practice Address - Street 2:600 HIGHLAND AVE H4/831-8320
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-263-0572
Practice Address - Fax:608-263-9830
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI50618-202080P0201X
WI1367207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology