Individual
DR. KETAN K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868-4633
(949) 744-5441
(949) 266-1661
Mailing address
1100 W TOWN AND COUNTRY RD STE 1250, ORANGE, CA 92868-4633
(949) 744-5441
(949) 266-1661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A120437
CA
207RG0100X
Gastroenterology Physician
Primary
A120437
CA
Other
Enumeration date
04/30/2008
Last updated
08/18/2025
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