Individual
DR. SHITAL PEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4441 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 298-7351
(937) 298-9458
Mailing address
4441 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 298-7351
(937) 298-9458
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36003246P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2222080
—
OH
Enumeration date
04/25/2006
Last updated
07/13/2017
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