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

Farah Shaukat, MD

Individual provider Family Medicine Physician · NPI 1124712393

Farah Shaukat, MD is a Family Practice in Lake Geneva, Wisconsin. Qualified in 2013, 13 years ago. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2023
Specialties on file
2
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

350 Peller Rd
Lake Geneva, WI 53147-4543
Phone: (262) 249-0221
Fax: (262) 249-0633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 84949-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 100037-851 (WI)

Record details

NPI number1124712393
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2023
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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