Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samir Prashant Shah, MD

Individual provider Diagnostic Radiology Physician · NPI 1063535995

Dr. Samir Prashant Shah, MD is an Interventional Radiology in Milwaukee, Wisconsin. Graduated from Southern Illinois University School of Medicine in 2007, 19 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington and Wisconsin.

Years since qualifying
19
Trained at
Southern Illinois University School of Medicine
Licensed in
WA, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone: (414) 649-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8901 W Lincoln Ave, West Allis, WI 53227-2409 — (414) 328-6420

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 52594 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60500535 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 52594020 (WI)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD60500535 (WA)

Record details

NPI number1063535995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2007
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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