| Vinodkumar Shah Md | |
|
403 N Grand Ave Waukesha WI 53186-4913 | |
| (262) 547-6240 | |
| (262) 547-6246 |
| Full Name | Vinodkumar Shah Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 403 N Grand Ave, Waukesha, Wisconsin |
| Authorized Official Name and Position | Vinodkumar Shah (OWNER/PRESIDENT) |
| Authorized Official Contact | 2625476240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vinodkumar Shah Md 4555 W Schroeder Dr #170 Milwaukee WI 53223-1475 Ph: (414) 365-3210 | Vinodkumar Shah Md 403 N Grand Ave Waukesha WI 53186-4913 Ph: (262) 547-6240 |
| NPI Number | 1285721423 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285721423 | NPI | - | NPPES |
| 30686600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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