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Individual

MIHIR S SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2901 W KINNICKINNIC RIVER PKWY STE 315, MILWAUKEE, WI 53215-3660
(414) 649-5646
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036134178
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
63727
WI
2084N0400X
Neurology Physician
036134178
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100045987
WI
Enumeration date
08/22/2012
Last updated
11/07/2023
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