Shah, Ketan Mahendra

Shah, Ketan Mahendra is an individual health care provider with primary practice located at 111 N County Farm Rd , Wheaton IL 60187-3977. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Shah, Ketan Mahendra can be contacted via phone (630) 682-7400.

Contact Information

Primary practice address
111 N County Farm Rd Wheaton IL 60187-3977
Phone: (630) 682-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209008868 Illinois

Profile Details

NPI number 1689959900
LBN Legal business name Shah, Ketan Mahendra
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2011
Last updated Oct 5th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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