Organization
KETAN SHAH MD INC
Active
Organization
KETAN SHAH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETAN K SHAH MD (PRESIDENT)
(949) 744-5441
Entity
Organization
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
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
02/02/2024
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