Individual
FARAH SHAUKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 PELLER RD, LAKE GENEVA, WI 53147-4543
(262) 249-0221
(262) 249-0633
Mailing address
350 PELLER RD, LAKE GENEVA, WI 53147-4543
(262) 249-0221
(262) 249-0633
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
100037-851
WI
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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