Individual
JESIKA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6809 122ND AVE, KENOSHA, WI 53142-7335
(262) 654-8633
(262) 654-5467
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7915
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70515-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508076555
—
WI
Enumeration date
05/22/2007
Last updated
06/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us