Individual
ASHOKKUMAR K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140-5525
(262) 654-0487
(262) 654-2434
Mailing address
3734 7TH AVE, SUITE 24, KENOSHA, WI 53140-5525
(262) 654-0487
(262) 654-2434
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33324
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31853300
—
WI
Enumeration date
01/02/2007
Last updated
07/08/2007
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