Individual
KUNAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 385-4638
(414) 649-6282
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
105227
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
55504
WI
208M00000X
Hospitalist Physician
D73674
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013550
—
WI
05
—
334301400
—
MD
Enumeration date
03/14/2008
Last updated
01/29/2024
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