Jesika Shah

MD | Pediatrics | Female

Jesika Shah, MD is a Kenosha, Wisconsin based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Jesika Shah is 6809 122nd Ave, Kenosha, Wisconsin - 53142-7335. She can be contacted on phone at 262-654-8633 and fax number 262-654-5467. Jesika Shah is a sole proprietor of her business.
NPI number (Unique professional ID) for Jesika Shah is 1508076555 which was assigned by NPPES on 22 May, 2007 and it was last updated on 12 Jun, 2019. Jesika Shah license number is 70515-20 for Pediatrics (208000000X) in Wisconsin.
Jesika Shah is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jesika Shah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Jesika Shah
Credential :MD
Gender :Female
Business Address:
Jesika Shah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :6809 122nd Ave
Kenosha, WI, 53142-7335
United States
Phone Number :262-654-8633
Fax Number :262-654-5467
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1508076555
NPI Entity Type : Individual
First Enrolment Date : 22 May, 2007
Last Updated On : 12 Jun, 2019
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jesika Shah are as mentioned. Primary taxonomy code for Jesika Shah, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes70515-20WI
Legacy Identifiers:
Other legacy medical identifiers of Jesika Shah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
1508076555MEDICAIDWI
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :9000 W Wisconsin Ave # Ms 958
Milwaukee, WI, 53226-4874
United States
Phone Number :414-266-7915
Fax Number :414-266-6238
Business Location:
Patients can refer following map for directions to Jesika Shah practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.