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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA GHANAYEM BOUIKIDIS

Active

SAMANTHA GHANAYEM BOUIKIDIS is a Family Medicine healthcare provider located in KENOSHA, Wisconsin. NPI 1588083232 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KENOSHA, WI

Registration Details

NPI Number
1588083232
Provider Type
Individual
Gender
Female
NPI Issued
Apr 9, 2014 (12.339140514214 yrs)
Last Updated
Nov 13, 2023
Licenses
125065487 (IL)
67162 (WI)

Practice Information

Address
10400 75TH ST
KENOSHA, WI, 531427884
Browse WI providers · Browse ZIP 53142
Phone
2629487370
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in KENOSHA, WI

Name Credential NPI
DR. JAWAID QUDDUS MD, PHD 1386631661
DR. STEPHEN P FEUERBACH M.D. 1386608677
MISO NIKO MILOSLAVIC MD 1326094731
LEONARDO MONTEMURRO SR. MD 1689620072
XA X XIONG MD 1629015334
ELIZABETH A ANTOO MD 1760422240
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.