Individual
DR. ISHAN KAMLESH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
815 10TH ST S, LA CROSSE, WI 54601-4764
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7724
WI
208M00000X
Hospitalist Physician
Primary
74753
WI
Other
Enumeration date
05/30/2013
Last updated
01/16/2024
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