person
Dr. Ketan D. Shah, DPM
Foot & Ankle Surgery Podiatrist in North Bergen, New Jersey
NPI 1609822360

Ketan D. Shah is a Foot & Ankle Surgery Podiatrist based in North Bergen, NJ and is specialized in Foot & Ankle Surgery. Ketan D. Shah practices in North Bergen, NJ and has the professional credentials of DPM. The NPI Number for Ketan D. Shah is 1609822360 and holds a License No. 25MD00270100 (New Jersey).

The current practice location address for Ketan D. Shah is 9234 Kennedy Blvd, North Bergen, NJ and can be reached out via phone at 201-868-2400 and via fax at 201-868-2014.

Location: 9234 Kennedy Blvd, North Bergen, NJ, 07047-5312
person
Provider Profile Details
NPI Number
1609822360
Provider Name
Ketan D. Shah
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9234 Kennedy Blvd, North Bergen, NJ, 07047-5312
Phone Number
201-868-2400
Fax Number
201-868-2014
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8882401 05 NJ
institution
Provider Business Practice Location Address Details
Address
9234 Kennedy Blvd
City
State
Zip
07047-5312
Phone Number
201-868-2400
Fax Number
201-868-2014
person
Provider Business Mailing Address Details
Address
9234 Kennedy Blvd
City
State
Zip
07047-5312
Phone Number
201-868-2400
Fax Number
201-868-2014
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
25MD00270100 (New Jersey)
Definition
Definition to come...
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