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

Phoenixc Healthcare, SC

Organization Clinical Cardiac Electrophysiology Physician · NPI 1821591710

Phoenixc Healthcare, SC is a Clinical Cardiac Electrophysiology Physician in Kenosha, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

6121 Green Bay Rd Ste 100
Kenosha, WI 53142-2931
Phone: (708) 488-9515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X

Record details

NPI number1821591710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Indrajit Choudhuri — President · (708) 488-9515
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018
Mailing address11168 N Lake Shore Dr, Mequon, WI 53092-5811

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