Organization
VINODKUMAR SHAH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINODKUMAR SHAH MD (OWNER/PRESIDENT)
(262) 547-6240
Entity
Organization
Contact information
Practice address
403 N GRAND AVE, WAUKESHA, WI 53186-4913
(262) 547-6240
(262) 547-6246
Mailing address
4555 W SCHROEDER DR, #170, MILWAUKEE, WI 53223-1475
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30686600
—
WI
Enumeration date
10/09/2006
Last updated
03/25/2008
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