Individual
SYED AMIR HAMID ALI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 288-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40398
IA
207R00000X
Internal Medicine Physician
66301-20
WI
207RN0300X
Nephrology Physician
Primary
66301
WI
208M00000X
Hospitalist Physician
66301
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060894
—
WI
Enumeration date
05/15/2009
Last updated
03/15/2022
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