2801 W KINNICKINNIC RIVER PKWY STE 840
MILWAUKEE, WI 53215-3669 US PECOS Enrolled
Overview
Prakash D Shah is a Cardiologist in the MILWAUKEE area and has over 34 years of experience. Prakash D Shah primary office location is at 2801 W KINNICKINNIC RIVER PKWY and new patients are welcome to contact this healthcare provider for an appointment. He attended Medical College Of Wisconsin and graduated 1990
Prakash D Shah is affiliated with four hospitals in the MILWAUKEE area, including AURORA MEDICAL CENTER KENOSHA. The NPI number is 1013917996 and the information was updated approximately 3 years ago.
Prakash D Shah is part of two medical groups, including AURORA MEDICAL GROUP, INC..
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 32376 | WI |
| 32376-020 | WI |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 32171700 | WI |
| Taxonomy | State | Primary? |
|---|---|---|
| Cardiologist - Taxonomy Code 207RC0000X | WI | Y |
| Nuclear Cardiology Physician - Taxonomy Code 207UN0901X | WI | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20040318001000 |
| PECOS Individual PAC ID: | 7315859600 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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