DR. VARSHA V SHAH (NPI# 1225297856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225297856 |
| Entity Type | Individual |
| Full Name | DR. VARSHA V SHAH |
| Credential | M.D. |
| Practice Address |
2350 N Lake Dr #100 Milwaukee WI 53211-4528 |
| Mailing Address |
4425 N Port Washington Rd Attn: Csmcp Clinic Credentialing Glendale WI 53212-1082 |
| Practice Telephone | 4142987250 |
| Practice Fax Number | 4142987251 |
| Mailing Telephone | 4142987250 |
| Mailing Fax Number | 4142987251 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 234633 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
53353 | WI | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
234633 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427522804 | Varsha C Shah | Pharmacy | 196 Nassau Blvd, Garden City Park, NY 11040-4419 | 2019-01-18 |
| 1558440958 | Varsha Udayan Shah | Dentist | 6355 Ten Oaks Rd, Suite 201, Clarksville, MD 21029-1184 | 2006-11-04 |
| 1801864848 | Varsha Divecha Shah | Dentist | 3005 Grand Concourse, Pediatric Dentist, Bronx, NY 10468-1428 | 2006-03-08 |
| 1144884156 | Varsha N Shah | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbi506, Newark, NJ 07103-2757 | 2019-04-24 |
| 1407990187 | Varsha Piyush Shah | Occupational Therapist | 4825 E Roosevelt St, Phoenix, AZ 85008-5917 | 2007-02-16 |
| 1356428197 | Varsha D Shah | Family Medicine | 1175 Diane Cir, Lewisville, TX 75067-4367 | 2006-11-01 |
| 1972616340 | Varsha S Shah | Pediatrics | 4637 Main St, Suite#4, Bridgeport, CT 06606-1838 | 2006-08-17 |
| 1689630071 | Varsha J Shah | Pediatrics | 2340 S Highland Ave, 150, Lombard, IL 60148-5371 | 2006-04-25 |
| Street Address |
2350 N LAKE DR #100 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53211-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721407 | Nguyen H Phan | Internal Medicine | 2350 N Lake Dr, Ste 206, Milwaukee, WI 53211-4528 | 2005-06-22 |
| 1326650698 | Dylan Henry Menefee | Physician Assistant | 2350 N Lake Dr, Milwaukee, WI 53211-4528 | 2020-08-18 |
| 1659936169 | Cadie Leigh Roszak | Nurse Practitioner | 2350 N Lake Dr, Milwaukee, WI 53211-4528 | 2019-05-09 |
| 1457884165 | Shelly A. Boyd | Nurse Practitioner | 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 | 2017-04-10 |
| 1043663818 | Kelly Brock | Physician Assistant | 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 | 2016-07-18 |
| 1376996397 | Jennifer Gallagher | Physician Assistant | 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 | 2016-07-14 |
| 1104285873 | Catherine Bares | Nurse Practitioner | 2350 N Lake Dr, Suite 100, Milwaukee, WI 53211-4528 | 2016-02-23 |
| 1578921375 | Heather Bastjan | Nurse Practitioner | 2350 N Lake Dr, Suite 500, Milwaukee, WI 53211-4528 | 2016-02-08 |
| 1033586292 | Angela Kraus | Nurse Practitioner | 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 | 2015-08-24 |
| 1871974964 | Tatyana Trendafilova Radulovic | Nurse Practitioner | 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 | 2015-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602335 | Gabriella Caitrin Emanuele | Occupational Therapist | Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 | 2020-09-02 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1861043952 | Rosina Bloomingdale Norton | Nurse Practitioner | 1921 E Harford Ave, Milwaukee, WI 53211 | 2019-09-20 |
| 1528556255 | Renee Reckelberg | Specialist/Technologist | 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 | 2018-04-27 |
| 1700325602 | Wisconsin Vision, Inc. | Optometrist | 4163 N Oakland Ave, Shorewood, WI 53211 | 2017-02-13 |
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1982075701 | Katie Michel | Specialist/Technologist | 3409 N. Downer Ave, Milwaukee, WI 53211 | 2015-10-20 |
| 1255776365 | Sarah Elizabeth Brill | Social Worker | 4433 N Oakland Ave Ste D, Shorewood, WI 53211 | 2013-05-02 |
| 1679814537 | Nicole Anne Parulski | Physical Therapist | 2301 North Lake Dr, Milwaukee, WI 53211 | 2013-03-01 |
| Find all providers in zip 53211 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039074 | William G Matthaeus | Internal Medicine | 1055 N Mayfair Rd, Milwaukee, WI 53226-3436 | 2005-11-02 |
| 1275536450 | John Pierrus Hanson Jr. | Internal Medicine | 2901 W Kinnickinnic River Pkwy, Ste 415, Milwaukee, WI 53215-3660 | 2005-05-23 |
| 1033662432 | Bicky Thapa | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-08-02 |
| 1700205549 | Tyce Jeffrey Kearl | Internal Medicine | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2014-04-09 |
| 1104244458 | Eden Biltibo | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2014-04-03 |
| 1376982264 | Mandana Kamgar | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2013-06-24 |
| 1083956148 | Ariel Ann Nelson | Internal Medicine | 9200 W Wisconsin Ave, Clcc - Fifth Floor, Milwaukee, WI 53226-3522 | 2013-03-26 |
| 1073857876 | Ajit B Divgi M.d.,l.l.c. | Internal Medicine | 3267 S 16th St, Suite 208, Milwaukee, WI 53215-4500 | 2012-11-16 |
| 1104172329 | Guru Subramanian Guru Murthy | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2012-07-25 |
| 1215282264 | Aditya Varnam Shreenivas | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2012-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.