Dr. Ketan D Shah, DPM
Podiatrist, Foot & Ankle Surgery in North Bergen, New Jersey
1609822360- Practice location
- 9234 Kennedy Blvd, North Bergen, NJ 07047-5312
- Phone
- 201-868-2400
- Fax
- 201-868-2014
- Last updated
- March 31, 2008
Ketan D. Shah is a Podiatrist, Foot & Ankle Surgery based in North Bergen, NJ. 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 (NJ). The current practice location address for Ketan D. Shah is 9234 Kennedy Blvd, North Bergen, NJ 07047-5312 and can be reached out via phone at 201-868-2400 and via fax at 201-868-2014.
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
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 25, 2006
- Last Update Date
- March 31, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9234 Kennedy Blvd
North Bergen, NJ 07047-5312 - City
- North Bergen
- State
- New Jersey
- Zip
- 07047-5312
- Phone Number
- 201-868-2400
- Fax Number
- 201-868-2014
Provider Business Mailing Address Details
- Address
- 9234 Kennedy Blvd
North Bergen, NJ 07047-5312 - City
- North Bergen
- State
- NJ
- Zip
- 07047-5312
- Phone Number
- 201-868-2400
- Fax Number
- 201-868-2014
License Information
- License Number
- 25MD00270100
- License State
- NJ
- Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrist, Foot & Ankle Surgery providers near North Bergen, NJ
View all Podiatrist, Foot & Ankle Surgery providers in North Bergen →- A Center For Foot And Ankle Surgery, P.a.Podiatrist, Foot & Ankle Surgery · NPI 1396926119
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- Dr. Demetrios S Econopouly, DPMPodiatrist, Foot & Ankle Surgery · NPI 1144200445
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Frequently Asked Questions
What is the NPI number of Dr. Ketan D Shah, DPM?
The NPI number of Dr. Ketan D Shah, DPM is 1609822360. It was assigned on May 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Ketan D Shah, DPM?
Dr. Ketan D Shah, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00270100.
Where does Dr. Ketan D Shah, DPM practice?
The practice location is 9234 Kennedy Blvd, North Bergen, NJ 07047-5312. The office can be reached at 201-868-2400 (phone) or 201-868-2014 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609822360 directly on the NPPES registry website.