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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1063535995 NPPES
Wisconsin MEDICAID 100034387
Wisconsin MEDICAID 2040623

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