Shah, Nandini
Shah, Nandini is an individual health care provider with primary practice located at 9555 76Th Street , Pleasant Prairie WI 53158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shah, Nandini can be contacted via phone (262) 577-8300.Contact Information
Primary practice address
9555 76Th Street
Pleasant Prairie WI 53158
Phone: (262) 577-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35252 | Wisconsin |
Profile Details
| NPI number | 1639103716 |
|---|---|
| LBN Legal business name | Shah, Nandini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 14th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639103716 | NPPES |
| Wisconsin | Other | 080171366 | MEDICARE RR |
| Wisconsin | Other | 338121367001 | MEDICARE RR |
| Wisconsin | MEDICAID | 32100900 | MEDICARE RR |
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