Individual
GIRISH JUNG SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(800) 283-2881
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(800) 283-2881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
86085-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
08/14/2025
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