Provider Demographics
NPI:1043610280
Name:ZENITH HEALTHCARE SC
Entity Type:Organization
Organization Name:ZENITH HEALTHCARE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAAID
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSEITIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-359-1652
Mailing Address - Street 1:6121 GREEN BAY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-2931
Mailing Address - Country:US
Mailing Address - Phone:262-359-1652
Mailing Address - Fax:262-764-7577
Practice Address - Street 1:6121 GREEN BAY RD STE 100
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-2931
Practice Address - Country:US
Practice Address - Phone:262-359-1652
Practice Address - Fax:262-764-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI45622207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty