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 |
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| Provider Name : | Jesika Shah |
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| Credential : | MD |
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| Gender : | Female |
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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 |
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| Phone Number : | 262-654-8633 |
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| Fax Number : | 262-654-5467 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2007 |
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| Last Updated On : | 12 Jun, 2019 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 70515-20 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Jesika Shah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1508076555 | MEDICAID | WI | |
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 |
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| Phone Number : | 414-266-7915 |
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| Fax Number : | 414-266-6238 |
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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. Last updated on 08 January, 2024.