KETAN SHAH

COLUMBIA, IL
NPI1841306693
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IL  036-101869)
Enumeration Date2006-08-22
Last Update Date2020-05-18
Business Address
KETAN SHAH M.D.
1000 ELEVEN S STE 4F
COLUMBIA, IL 62236-1080
Phone number: 618-628-0715
Mailing Address
KETAN SHAH M.D.
1000 ELEVEN S STE 4F
COLUMBIA, IL 62236-1080
Phone number: 618-628-0715
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