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NPI Code Detail

MEDICARE: KAREN J PADUA D.O.

MEDICARE:   KAREN J PADUA  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician20A15163CA
2207QG0300XGeriatric Medicine (Family Medicine) Physician54159-21WI
3207QG0300XGeriatric Medicine (Family Medicine) Physician20A15163CA
4207Q00000XFamily Medicine Physician54159-21WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922273275
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN J PADUA D.O.
Provider Business Mailing Address
First Line : 3301 W FOREST HOME AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-2843
Country : US
Telephone Number : 414-389-2131
Fax Number :
Provider Business Practice Location Address
First Line : 8520 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-4604
Country : US
Telephone Number : 414-607-4291
Fax Number : 414-607-4530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2008
Last Update Date : 12/27/2021

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Directions to “ KAREN J PADUA D.O.” Practice Location

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