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Contact Information

ATIT SHAH, MD
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI53081-3174
 Phone: 920-204-6758
 Fax: 888-720-0495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ATIT SHAH · (Male)

NPI # 1487881108
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2009
Last updated 08/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.055819
  • WI License # 62091
  • WI License # 62091-20
Hospital affiliation(s)
  • ST NICHOLAS HOSPITAL - (Acute Care)
    3100 SUPERIOR AVE
    SHEBOYGAN, WI 53081
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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