Provider Demographics
NPI:1821282401
Name:SUMA, VALENTIN S (MD)
Entity Type:Individual
Prefix:
First Name:VALENTIN
Middle Name:S
Last Name:SUMA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2801 W KINNICKINNIC RIVER PKWY
Mailing Address - Street 2:SUITE 175
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-3669
Mailing Address - Country:US
Mailing Address - Phone:414-649-3530
Mailing Address - Fax:414-385-7158
Practice Address - Street 1:2801 W KINNICKINNIC RIVER PKWY
Practice Address - Street 2:SUITE 175
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3669
Practice Address - Country:US
Practice Address - Phone:414-649-3530
Practice Address - Fax:414-385-7158
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
WI64528-20207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease