Individual
AJIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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