Individual
SUSHIL S. SABNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 747-8856
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(147) 478-8564
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46721
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43502300
—
WI
01
—
P00450906
RR MEDICARE
WI
Enumeration date
06/23/2006
Last updated
10/17/2023
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