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

Samrah Riaz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790593580

Samrah Riaz is a Student in an Organized Health Care Education/Training Program in Manitowoc, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2719 Calumet Ave
Manitowoc, WI 54220-5546
Phone: (920) 686-2333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3450 Lacey Rd, Downers Grove, IL 60515-5430 — (630) 743-4500

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6001852-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WI)

Record details

NPI number1790593580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 25, 2024
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address1801 Burr Oak Ct, Waukesha, WI 53189-8400

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