| Doctor Name: | DR. KUSUMA GOWDAR |
| NPI Number: | 1669541728 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036052460 |
| Business Practice Address: | 741 W Pershing Rd Decatur, IL - 62526 |
| Business Phone Number: | 2178767200 |
| Business Fax Number: | 2178767233 |
| Mailing Address: | 2300 N Edward St, Gsbll DECATUR |
| State: | IL |
| Postal Code: | 625264163 |
| Phone Number: | 2178762857 |
| Fax Number: | 2178762874 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 09/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 036052460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |