Individual
SUSHANT M NANAVATI
Active
Individual
SUSHANT M NANAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036160634
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036160634
IL
207RP1001X
Pulmonary Disease Physician
036160634
IL
207RP1001X
Pulmonary Disease Physician
Primary
100789
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239287
—
WI
Enumeration date
06/28/2016
Last updated
07/27/2023
Update your record
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