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Individual

MALAIKA MATHAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14555 W NATIONAL AVE, SUITE 170, NEW BERLIN, WI 53151-4494
(262) 827-3636
(262) 827-3626
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36107
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32205100
WI
01
P00639716
RR MEDICARE
WI
Enumeration date
08/26/2005
Last updated
12/02/2021
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