Ketan S. Shah MD

NPI 1083664023 - Internal Medicine - 207RH0003X

NPI Details
NPI 1083664023
Gender Male
Enumeration Date 05/11/2006
Last Updated 12/02/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3120 GOVERNORS PLACE BLVD
KETTERING OH, 45409, US
Phone (937) 293-1622
Fax (937) 245-6308
Business Location
6680 POE AVE
SUITE 200
DAYTON OH, 45414-2854, US
Phone (937) 280-8366
Fax (937) 280-8373
Toxanomy
Taxonomy Code 207RH0003X
License State Ohio
License Number 35061874
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According to our database, Ketan S. Shah MD NPI is 1083664023, taxonomy code is 207RH0003X and license number is 35061874, license state is located at Ohio. Ketan S. Shah MD physically located at 3120 Governors Place Blvd, Kettering OH, 45409. NPI Number Ketan S. Shah MD has the Individual type.

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1083664023 NPI number is provided on an as is basis without warranty of any kind. 1083664023 is maintained by the National Plan & Provider Enumeration System. The contents of Ketan S. Shah MD are for informational purposes only.