Individual provider · Type 1 NPI

Carla Jean Shah, MD

Diagnostic Radiology Physician · Mequon, WI

NPI number 1336226646 Active

Practice location

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078

Fax (414) 434-0467

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X50269-020 (WI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1336226646

Carla Jean Shah, MD's National Provider Identifier is 1336226646, issued on Nov 1, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mequon, WI. The record was last updated on Nov 17, 2023.