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Contact Information

SURESH R NAIKMD SC
3535 30TH AVENUE
#207 SURESH R NAIK MD SC
KENOSHA, WI53144
 Phone: 262-658-1618
 Fax: 262-654-4562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SURESH R NAIKMD SC · (Female)

NPI # 1194923045
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 20553
  • WI Medicaid 31103000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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