Shah, Mindy S

Shah, Mindy S is an individual health care provider with primary practice located at 5395 E Cheryl Pkwy , Fitchburg WI 53711-5395. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Shah, Mindy S can be contacted via phone (608) 276-4660.

Contact Information

Primary practice address
5395 E Cheryl Pkwy Fitchburg WI 53711-5395
Phone: (608) 276-4660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 231472 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 231472 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 231472 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 63930 Wisconsin

Profile Details

NPI number 1518905348
LBN Legal business name Shah, Mindy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518905348 NPPES
New York MEDICAID 02748043

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