Individual
NANDAN NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 385-2429
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
103674-875
WI
2086S0129X
Vascular Surgery Physician
ME150750
FL
2086S0129X
Vascular Surgery Physician
MT206680
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036173270
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100416249
—
WI
05
—
111588100
—
FL
01
—
W8300
HFMG
FL
Enumeration date
06/26/2014
Last updated
06/17/2026
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