Shah, Prakash D
Shah, Prakash D is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 840, Milwaukee WI 53215-3669. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shah, Prakash D can be contacted via phone (414) 649-3530.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy Ste 840
Milwaukee WI 53215-3669
Phone: (414) 649-3530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 32376-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 32376 | Wisconsin |
Profile Details
| NPI number | 1013917996 |
|---|---|
| LBN Legal business name | Shah, Prakash D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Nov 22nd, 2021 - about 4 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 | 1013917996 | NPPES |
| Wisconsin | MEDICAID | 32171700 |
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