Individual
ATIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2124 KOHLER MEMORIAL DR STE 110, SHEBOYGAN, WI 53081-3174
(920) 204-6758
(888) 720-0495
Mailing address
2124 KOHLER MEMORIAL DR STE 110, SHEBOYGAN, WI 53081-3174
(920) 204-6758
(888) 720-0495
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
62091
WI
207R00000X
Internal Medicine Physician
125.055819
IL
208VP0000X
Pain Medicine Physician
Primary
62091-20
WI
Other
Enumeration date
06/20/2009
Last updated
08/11/2023
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