Provider Demographics
NPI:1891082533
Name:PUTHUMANA, KAMALOSHINI (MD)
Entity type:Individual
Prefix:DR
First Name:KAMALOSHINI
Middle Name:
Last Name:PUTHUMANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:KAMALOSHINI
Other - Middle Name:
Other - Last Name:PUTHUMANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6807 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5294
Mailing Address - Country:US
Mailing Address - Phone:315-395-6333
Mailing Address - Fax:
Practice Address - Street 1:6807 FIELDSTONE DR
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-5294
Practice Address - Country:US
Practice Address - Phone:315-395-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361608002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry