Individual
NEDA NADERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 551-4600
(262) 551-4635
Mailing address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 551-4600
(262) 551-4635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81033
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
05/02/2023
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