Southeastern Pediatrics, Sc

LBN: Southeastern Pediatrics, Sc
Southeastern Pediatrics, Sc is an health care organization with primary practice located at 10625 W North Ave Ste 326 , Wauwatosa WI 53226-2315. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Southeastern Pediatrics, Sc can be contacted via phone (414) 771-0500, or through Rioga, Ratidzai via phone (414) 771-0500.

Contact Information

Primary practice address
10625 W North Ave Ste 326 Wauwatosa WI 53226-2315
Fax: (414) 771-0363
Website:
Authorized official contact:
Name: Rioga, Ratidzai Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41265 Wisconsin
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 41265 Wisconsin

Profile Details

NPI number 1154765410
LBN Legal business name Southeastern Pediatrics, Sc
DBA Doing business as
Authorized official Rioga, Ratidzai Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2013
Last updated May 15th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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