Shah, Keyurkumar Anilkumar
Shah, Keyurkumar Anilkumar is an sole proprietor health care provider with primary practice located at 1216 Ryans Rd Ste 1 , Worthington MN 56187-1722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Shah, Keyurkumar Anilkumar can be contacted via phone (507) 372-2921.Contact Information
Primary practice address
1216 Ryans Rd Ste 1
Worthington MN 56187-1722
Phone: (507) 372-2921
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0059271 | Maryland |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101239675 | Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD2012-0683 | New Mexico |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MD2012-0683 | New Mexico |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 60575 | Minnesota |
Profile Details
| NPI number | 1508919804 |
|---|---|
| LBN Legal business name | Shah, Keyurkumar Anilkumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508919804 | NPPES |
| Maryland | MEDICAID | 4043561 00 |
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