Healthcare Provider Details

I. General information

NPI: 1013116532
Provider Name (Legal Business Name): PREETHA NAIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PREETHA UNNITHAN.K. M.D.

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-955-0438
  • Fax:
Mailing address:
  • Phone: 414-955-0438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number86300-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4351052138
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: