Individual
SANDHYA V SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
(608) 643-3311
Mailing address
80 1ST ST, PRAIRIE DU SAC, WI 53578-1550
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30254
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31780900
—
WI
Enumeration date
06/09/2005
Last updated
10/06/2010
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