Shah, Sandhya V

Shah, Sandhya V is an individual health care provider with primary practice located at 80 1St St , Prairie Du Sac WI 53578-1550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shah, Sandhya V can be contacted via phone (608) 643-3311.

Contact Information

Primary practice address
80 1St St Prairie Du Sac WI 53578-1550
Phone: (608) 643-3311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30254 Wisconsin

Profile Details

NPI number 1114921046
LBN Legal business name Shah, Sandhya V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 6th, 2010 - about 14 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 1114921046 NPPES
Wisconsin MEDICAID 31780900

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