Individual
DR. KETUL K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 POLARIS PKWY STE 2300, WESTERVILLE, OH 43082-7993
(614) 788-2870
(614) 533-0177
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35121117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085240
—
OH
Enumeration date
07/11/2007
Last updated
01/25/2022
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