Dr. Neil P Shah, MD
Radiology, Vascular & Interventional Radiology in Milwaukee, WI. Individual provider (NPI-1).
NPI number1376821082
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1376821082
- Entity type
- Individual (NPI-1)
- Name
- Dr. Neil P Shah
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2011
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 69712 | WI | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 036144074 | IL | |
| 2085R0202X | Radiology, Diagnostic Radiology | 69712 | WI |
Practice location
945 N 12th StMilwaukee, WI 53233
Phone 414-358-5437 · Fax 414-358-5421
Mailing address
4025 N 92nd StWauwatosa, WI 53222-1613
Phone 414-358-5437 · Fax 414-358-5421
Other practice locations
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Lake Forest, IL 60045-1658
Phone 847-535-8080 · Fax 312-926-0826
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