Shah, Ketul K

Shah, Ketul K is an individual health care provider with primary practice located at 300 Polaris Pkwy Ste 2300 , Westerville OH 43082-7993. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shah, Ketul K can be contacted via phone (614) 788-2870.

Contact Information

Primary practice address
300 Polaris Pkwy Ste 2300 Westerville OH 43082-7993
Fax: (614) 533-0177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35121117 Ohio

Profile Details

NPI number 1265630230
LBN Legal business name Shah, Ketul K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Jan 25th, 2022 - about 2 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 1265630230 NPPES
Ohio MEDICAID 0085240

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