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

Dr. Prem Kandiah, MD

Individual provider Internal Medicine Physician · NPI 1972684082

Dr. Prem Kandiah, MD is an Internal Medicine in Milwaukee, Wisconsin. Qualified in 2000, 26 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia and Wisconsin.

Years since qualifying
26
Licensed in
GA, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 917-8531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 066191 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 48807 - 20 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence 48807 - 20 (WI)

Record details

NPI number1972684082
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESAugust 28, 2017
Mailing address1920 North Farwell Ave, Unit 403, Milwaukee, WI 53202

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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