Susiani Intan is a neurologist based in Milwaukee, Wisconsin with 19 years of experience in Neurology. She completed her graduation in 2007. She is also affiliated with hospitals like She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Susiani Intan is 62499 for Neurology in Wisconsin. Her current practice location is 2801 W Kinnickinnic River Pkwy, Milwaukee. Patients can reach her at 414-385-1922 or can fax her at 414-385-1988. Susiani Intan is MD in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1114274529.
Susiani Intan specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Practice Information
Susiani Intan speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Provider Name Susiani Intan
Specialization Neurology
Credentials MD
Accepts Medicare Assignment Yes
Experience 19+ years
Graduation Year 2007
Gender Female
Practice Address: 2801 W Kinnickinnic River Pkwy, Milwaukee, WI - 53215-3669
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID
6709105190
Enrollment ID
I20211025001227
NPI Number1114274529
NPI Enumeration Date: 06 Aug, 2012
NPI Last Update On: 14 Oct, 2024
Medical Licenses:
Healthcare professionals can hold one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susiani Intan are as mentioned below.
License NumberSpecializationStateStatus
62499Neurology
WisconsinPrimary
62449Neurology
WisconsinSecondary
Hospital Affiliation
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
StateHospital Type
(520138)Milwaukee, WIAcute Care Hospital
Group Practice
Group practices are practice of medicine by a group of healthcare professionals who share their premises and other resources. Following list states all the group name with which Susiani Intan is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Aurora Medical Group, Inc. (6709794258)2867
Other Medical Identifiers
Other legacy medical identifiers associated with Susiani Intan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100038273MedicaidWisconsin
1114274529MedicaidWashington
G8966407OtherWashingtonWVH PTAN
G8966408OtherWashingtonWVH PTAN
Mailing Address
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.
Susiani Intan Po Box 735044, Chicago, IL - 60673-5044 Phone: 800-326-2250
Book an Appointment with Susiani Intan
To schedule an appointment, contact Susiani Intan at 2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin or call on below stated phone number.
Below are some commonly asked questions about Susiani Intan:
Dr. Susiani Intan is a neurologist specializing in Neurology. She specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Dr. Susiani Intan has approximately 19 years of experience in Neurology.
Yes, Dr. Susiani Intan accepts Medicare assignment, meaning the provider participates in Medicare and accepts Medicare-approved amounts for eligible services.
Yes, Dr. Susiani Intan is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.
Dr. Susiani Intan practices at 2801 W Kinnickinnic River Pkwy, Milwaukee, Wisconsin, 53215-3669.
To schedule an appointment with Dr. Susiani Intan, please contact the office at 414-385-1922.
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