Shah, Ketan S.

Shah, Ketan S. is an individual health care provider with primary practice located at 3120 Governors Place Blvd , Dayton OH 45409-1328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Shah, Ketan S. can be contacted via phone (937) 293-1622.

Contact Information

Primary practice address
3120 Governors Place Blvd Dayton OH 45409-1328
Phone: (937) 293-1622
Fax: (937) 245-6308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35061874-S Ohio
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 35.061874 Ohio
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35061874 Ohio

Profile Details

NPI number 1083664023
LBN Legal business name Shah, Ketan S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 7th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083664023 NPPES
Ohio MEDICAID 0824666

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