Dr. Prakash D Shah
Internist - Cardiovascular Disease
2801 W Kinnickinnic River Pkwy Ste 840
Milwaukee
, Wisconsin 53215-3669
Dr. Prakash D Shah
Internist - Cardiovascular Disease
2801 W Kinnickinnic River Pkwy Ste 840
Milwaukee
, Wisconsin 53215-3669
(414) 649-3530
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Prakash D Shah
- 2801 W Kinnickinnic River Pkwy Ste 840
- Milwaukee, WI
- Zip : 53215-3669
- Phone : (414) 649-3530
Second Address
- Dr. Prakash D Shah
- 2801 W Kinnickinnic River Pkwy Ste 840
- Milwaukee, WI
- Zip : 53215-3669
- Phone : (414) 649-3530
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 32376 | WI |
National Provider Identifier
| NPI | 1013917996 |
|---|---|
| Provider Name | Dr. Prakash D Shah |
| First Address | Milwaukee, WI 53215-3669 |
| Second Address | Milwaukee, WI 53215-3669 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 22/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32171700 | (05) | WI |
| G04940 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.