Individual
DR. NIMISH BHUPENDRA VAKIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34096-020
WI
207RG0100X
Gastroenterology Physician
Primary
34096
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31942400
—
WI
Enumeration date
12/09/2005
Last updated
11/30/2021
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