Mathai, Malaika

Mathai, Malaika is an individual health care provider with primary practice located at 14555 W National Ave Suite 170, New Berlin WI 53151-4494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mathai, Malaika can be contacted via phone (262) 827-3636.

Contact Information

Primary practice address
14555 W National Ave Suite 170 New Berlin WI 53151-4494
Fax: (262) 827-3626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36107 Wisconsin

Profile Details

NPI number 1386637080
LBN Legal business name Mathai, Malaika
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Dec 2nd, 2021 - 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 1386637080 NPPES
Wisconsin Other P00639716 RR MEDICARE
Wisconsin MEDICAID 32205100 RR MEDICARE

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