Shah, Keyurkumar Anilkumar

Shah, Keyurkumar Anilkumar is an sole proprietor health care provider with primary practice located at 1216 Ryans Rd Ste 1 , Worthington MN 56187-1722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shah, Keyurkumar Anilkumar can be contacted via phone (507) 372-2921.

Contact Information

Primary practice address
1216 Ryans Rd Ste 1 Worthington MN 56187-1722
Phone: (507) 372-2921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0059271 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101239675 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2012-0683 New Mexico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MD2012-0683 New Mexico
Allopathic & Osteopathic Physicians / Surgery 208600000X 60575 Minnesota

Profile Details

NPI number 1508919804
LBN Legal business name Shah, Keyurkumar Anilkumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 21st, 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 1508919804 NPPES
Maryland MEDICAID 4043561 00

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