Healthcare Provider Details

I. General information

NPI: 1821418583
Provider Name (Legal Business Name): HENA KAUSAR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 ODANA RD
MADISON WI
53719-1107
US

IV. Provider business mailing address

6315 ODANA RD
MADISON WI
53719-1107
US

V. Phone/Fax

Practice location:
  • Phone: 608-949-7921
  • Fax:
Mailing address:
  • Phone: 608-949-7921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57170-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: