Individual
NISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4976
(316) 962-2250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9410053
KS
Other
Enumeration date
04/10/2019
Last updated
06/14/2022
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