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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

NPI # 1194923045
LBN Legal business name SURESH R NAIKMD SC
Authorized official SURESH NAIK - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 20553
WI Medicaid 31103000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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