Provider Demographics
NPI:1548330467
Name:SHAH, APARNA S (MD)
Entity type:Individual
Prefix:DR
First Name:APARNA
Middle Name:S
Last Name:SHAH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4455 S 108TH ST
Mailing Address - Street 2:GREENFIELD HIGHLANDS HEALTH CENTER
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-2504
Mailing Address - Country:US
Mailing Address - Phone:414-427-5310
Mailing Address - Fax:414-427-5311
Practice Address - Street 1:4455 S 108TH ST
Practice Address - Street 2:GREENFIELD HIGHLANDS HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53228-2504
Practice Address - Country:US
Practice Address - Phone:414-427-5310
Practice Address - Fax:414-427-5311
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2011-08-24
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Provider Licenses
StateLicense IDTaxonomies
WI56159207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG83390Medicare UPIN