Individual
DR. MANISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-2398
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63845
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165731
—
NY
Enumeration date
07/10/2006
Last updated
01/21/2021
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