Individual
DR. KEYURKUMAR ANILKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1216 RYANS RD STE 1, WORTHINGTON, MN 56187-1722
(507) 372-2921
Mailing address
1216 RYANS ROAD, WORTHINGTON, MN 56187
(507) 372-2921
(507) 372-5789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101239675
VA
208600000X
Surgery Physician
Primary
60575
MN
208600000X
Surgery Physician
D0059271
MD
208600000X
Surgery Physician
MD2012-0683
NM
390200000X
Student in an Organized Health Care Education/Training Program
MD2012-0683
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4043561 00
—
MD
Enumeration date
01/19/2007
Last updated
07/21/2022
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