Individual
SYED JIRGIS SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
(920) 288-8145
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8100
(920) 288-8145
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
50775
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34934100
—
WI
Enumeration date
07/11/2006
Last updated
11/22/2021
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