Organization
SHAH-NI-4 INC.
Active
Other names
Prime Careline
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD NOOR (PRESIDENT)
(414) 488-4575
Entity
Organization
Contact information
Practice address
8210B W CAPITOL DR, MILWAUKEE, WI 53222-1922
(414) 488-4575
(414) 455-8007
Mailing address
8210B W CAPITOL DR, MILWAUKEE, WI 53222-1922
(414) 488-4575
(414) 455-8007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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