Nanavati, Sushant M

Nanavati, Sushant M is an sole proprietor health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Nanavati, Sushant M can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036160634 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036160634 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036160634 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 100789 Wisconsin

Profile Details

NPI number 1821449182
LBN Legal business name Nanavati, Sushant M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Jul 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821449182 NPPES
Wisconsin MEDICAID 100239287

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