Individual
GOYA V RAIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-6204
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6900
(414) 955-6204
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
35495
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
39328
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284520200
—
MN
Enumeration date
02/10/2006
Last updated
01/30/2018
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