Suresh R Naik MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20553 Issued in WI

Legal business name

SURESH R NAIK MD SC

Practice address

3535 30TH Ave
Suite 207
Kenosha, WI 53144-1632

Phone

(262) 658-1618

Fax

(262) 654-4562

NPI assigned

Jul 10, 2007

Last updated

Oct 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suresh R Naik, M.D.NPI 1528125192

Title

Owner

Phone

(262) 658-1618

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh R Naik, MD

  • Internal Medicine Physician
  • Kenosha, WI
  • NPI 1528125192
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1992903124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 207",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-658-1618",
            "fax_number": "262-654-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 30TH AVE",
            "address_2": "SUITE 207",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441632",
            "telephone_number": "262-658-1618",
            "fax_number": "262-654-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH R NAIK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "NAIK",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-658-1618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "20553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.