Individual
AJIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST # HX332E, LEXINGTON, KY 40536-7001
(859) 323-5069
(859) 257-4457
Mailing address
1615 BLACKBURN HEIGHTS DR., SEWICKLEY, PA 15143
(412) 324-1078
(142) 324-1079
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
TP163
KY
2085R0202X
Diagnostic Radiology Physician
MD036456E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245227735
NPI
—
01
—
TP163
KENTUCKY MEDICAL LICENSE
KY
Enumeration date
09/30/2005
Last updated
03/17/2018
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