Dr Preetha Y Kurudiyara, MD is a
Preventive Medicine - Addiction Medicine physician based in West Milwaukee, Wisconsin. Dr Preetha Y Kurudiyara is licensed to practice in Wisconsin (license number 49289) and her current practice location is 1610 Miller Park Way, West Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 306-7120.
NPI number for Dr Preetha Y Kurudiyara is 1558567735 and her current mailing address is 17820 Hickory Ct, Brookfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558567735.
Physician's Profile
| Full Name | Dr Preetha Y Kurudiyara |
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| Gender | Female |
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| Speciality | Preventive Medicine - Addiction Medicine |
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| Location | 1610 Miller Park Way, West Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558567735
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Dr Preetha Y Kurudiyara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558567735 | NPI | - | NPPES |
| 1558567735 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | 49289 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 49289 (Wisconsin) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 49289 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Preetha Y Kurudiyara is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Preetha Y Kurudiyara, MD
17820 Hickory Ct,
Brookfield, WI 53045-5010
Ph: (414) 559-6924 | Dr Preetha Y Kurudiyara, MD
1610 Miller Park Way,
West Milwaukee, WI 53214-3604
Ph: (414) 306-7120 |
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