Shah, Rakesh J
Shah, Rakesh J is an individual health care provider with primary practice located at 190 Gardner Ave Suite 3, Burlington WI 53105-2160. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Shah, Rakesh J can be contacted via phone (262) 763-7766.Contact Information
Primary practice address
190 Gardner Ave Suite 3
Burlington WI 53105-2160
Phone: (262) 763-7766
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 036117138 | Illinois |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 53943 | Wisconsin |
Profile Details
NPI number | 1508878422 |
---|---|
LBN Legal business name | Shah, Rakesh J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
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.
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