Provider Demographics
NPI:1538526785
Name:S&A RINGWALA, S.C.
Entity type:Organization
Organization Name:S&A RINGWALA, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUDIP
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGWALA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:262-657-4666
Mailing Address - Street 1:4906 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53144-2108
Mailing Address - Country:US
Mailing Address - Phone:262-657-4666
Mailing Address - Fax:
Practice Address - Street 1:4906 39TH AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-2108
Practice Address - Country:US
Practice Address - Phone:262-657-4666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60091-21207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI47529955OtherFIN