Individual
ALPA PATEL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16985 W BLUEMOUND RD, BROOKFIELD, WI 53005-5909
(262) 641-8400
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 641-8400
(262) 784-8404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101020539
MI
208000000X
Pediatrics Physician
Primary
75267
WI
208000000X
Pediatrics Physician
OS019284
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167229
—
WI
Enumeration date
03/05/2013
Last updated
11/22/2021
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