Shah, Samir Prashant
Shah, Samir Prashant is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Shah, Samir Prashant can be contacted via phone (414) 649-6000.Contact Information
Primary practice address
2900 W Oklahoma Ave
Milwaukee WI 53215-4330
Phone: (414) 649-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60500535 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 52594020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD60500535 | Washington |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 52594 | Wisconsin |
Profile Details
| NPI number | 1063535995 |
|---|---|
| LBN Legal business name | Shah, Samir Prashant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2007 |
| Last updated | Nov 2nd, 2023 - about last year |
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 | 1063535995 | NPPES |
| Wisconsin | MEDICAID | 100034387 | |
| Wisconsin | MEDICAID | 2040623 |
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