Individual
SYED SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2077-320
WI
207W00000X
Ophthalmology Physician
D74241
MD
207W00000X
Ophthalmology Physician
ME148892
FL
Other
Enumeration date
02/12/2009
Last updated
11/30/2022
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