Individual
ASHISH SHREEKANT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(920) 786-0132
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.130982
OH
208000000X
Pediatrics Physician
A168713
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A168713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518387141
—
WI
Enumeration date
04/22/2014
Last updated
08/16/2024
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