Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSIANI INTAN, MD
ActiveSUSIANI INTAN, MD is a 207WX0109X healthcare provider located in MILWAUKEE, Wisconsin. NPI 1114274529 is currently active in the NPPES registry. Verify at CMS.
207WX0109X · MILWAUKEE, WI
Registration Details
- NPI Number
- 1114274529
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2012 (14.051528467921 yrs)
- Last Updated
- Oct 14, 2024
- Licenses
-
62449 (WI)62499 (WI)
Practice Information
- Address
-
2801 W KINNICKINNIC RIVER PKWYMILWAUKEE, WI, 532153669Browse WI providers · Browse ZIP 53215
- Phone
- 4143851922
- Fax
- 4143851988
- Primary Specialty
-
207WX0109X
207WX0109X
- Additional Specialty
- 207WX0109X
Other 207WX0109X Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| RYAN DENNIS WALSH | MD | 1396900437 |
| DR. AMRITA-AMANDA DEVI VUPPALA | MD | 1881937290 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.