Organization
SURESH R NAIKMD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH R NAIK MD SC (PHYSICIAN)
(262) 658-1618
Entity
Organization
Contact information
Practice address
3535 30TH AVENUE, #207 SURESH R NAIK MD SC, KENOSHA, WI 53144
(262) 658-1618
(262) 654-4562
Mailing address
3535 30TH AVENUE, SUITE #207, KENOSHA, WI 53144
(262) 658-1618
(262) 654-4562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20553
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31103000
—
WI
Enumeration date
07/03/2007
Last updated
08/22/2020
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