Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Gevinah Healthcare SC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1134907173

Gevinah Healthcare SC provides Geriatric Medicine (Family Medicine) Physician services 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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