Individual
NIRAV N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6815
Mailing address
9200 W WISCONSIN AVE, NEOPLASIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD445171
PA
207RH0003X
Hematology & Oncology Physician
Primary
63993
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245491257
—
WI
Enumeration date
06/23/2008
Last updated
10/01/2020
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