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Individual
ATIT SHAH
Active
Individual
ATIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
62091
WI
207R00000X
Internal Medicine Physician
125.055819
IL
208VP0000X
Pain Medicine Physician
Primary
62091-20
WI
Other
Enumeration date
06/20/2009
Last updated
08/11/2023
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