Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gevinah Healthcare SC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1134907173

Gevinah Healthcare SC is a Geriatric Medicine (Family Medicine) Physician in Kenosha, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3100 Washington Rd
Kenosha, WI 53144-1604
Phone: (310) 933-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1134907173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Farah — Owner · (310) 933-5688
NPI enumeratedSeptember 20, 2023
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address15910 Ventura Blvd Ste 1701, Encino, CA 91436-2816

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