Dr Soniya G Shah, DO | |
12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | |
(262) 857-5000 | |
(262) 857-5001 |
Full Name | Dr Soniya G Shah |
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Gender | Female |
Speciality | Pediatrics |
Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255448445 | NPI | - | NPPES |
43491600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-102992 (Illinois) | Secondary |
208000000X | Pediatrics | 43387 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Dr Soniya G Shah, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Soniya G Shah, DO 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000 |
Dr. Brian G Sapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 Fax: 262-857-5001 | |
Dr. Sheri Silva Rocco, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Pamela S Cava, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9555 76th St, Suite 4106, Pleasant Prairie, WI 53158 Phone: 262-653-5437 Fax: 262-577-8715 | |
Joyce E Turley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8005 Fax: 262-577-8015 |