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Individual

DR. KETAN YOGESH SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125019034
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
R4320
TX

Other

Enumeration date
07/19/2012
Last updated
09/29/2022
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