Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mustafa Syed Badrudduja, MD

Individual provider Surgery Physician · NPI 1083744486

Dr. Mustafa Syed Badrudduja, MD is a General Surgery in Kenosha, Wisconsin. Graduated from Wright State University Boonshoft School of Medicine in 2008, 18 years ago. Practices with Jandali Surgical Associates, SC, a 2-clinician group and accepts Medicare assignment. Licensed in Ohio and Wisconsin.

Years since qualifying
18
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH, WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6308 8th Ave Ste 3050
Kenosha, WI 53143-5031
Phone: (262) 654-7002
Fax: (262) 654-6822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 51809 (WI)
Surgery Physician Taxonomy 208600000X · Licence 35.087678 (OH)

Record details

NPI number1083744486
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESNovember 8, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Jandali Surgical Associates, S.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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