# SURESH R NAIKMD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194923045
- **Authorized official:** DR. SURESH R NAIK MD SC (PHYSICIAN)
- **Authorized official phone:** (262) 658-1618

## Contact information

- **Practice address:** 3535 30TH AVENUE, \#207 SURESH R NAIK MD SC, KENOSHA, WI 53144
- **Practice address phone:** (262) 658-1618
- **Practice address fax:** (262) 654-4562
- **Mailing address:** 3535 30TH AVENUE, SUITE \#207, KENOSHA, WI 53144
- **Mailing address phone:** (262) 658-1618
- **Mailing address fax:** (262) 654-4562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20553 | WI | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 08/22/2020