Individual
NISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 266-2932
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
65280
WI
2084P0800X
Psychiatry Physician
MT-205174
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
65280
WI
2084P0804X
Child & Adolescent Psychiatry Physician
FS5961215
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447699079
—
WI
Enumeration date
06/17/2013
Last updated
06/27/2018
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