# VINODKUMAR SHAH MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285721423
- **Authorized official:** VINODKUMAR SHAH MD (OWNER/PRESIDENT)
- **Authorized official phone:** (262) 547-6240

## Contact information

- **Practice address:** 403 N GRAND AVE, WAUKESHA, WI 53186-4913
- **Practice address phone:** (262) 547-6240
- **Practice address fax:** (262) 547-6246
- **Mailing address:** 4555 W SCHROEDER DR, \#170, MILWAUKEE, WI 53223-1475
- **Mailing address phone:** (414) 365-3210
- **Mailing address fax:** (414) 365-3225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 03/25/2008