Individual
DR. PAYAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2315 SILVERNAIL RD, PEWAUKEE, WI 53072-5402
(262) 521-9383
Mailing address
2315 SILVERNAIL RD, PEWAUKEE, WI 53072-5402
(262) 521-9383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2934-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38620600
—
WI
Enumeration date
03/02/2007
Last updated
07/18/2016
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