Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KETAN MAHENDRA SHAH, PMHNP-BC
ActiveMR. KETAN MAHENDRA SHAH, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in WHEATON, Illinois. NPI 1689959900 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · WHEATON, IL
Registration Details
- NPI Number
- 1689959900
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2011 (14.780816665916 yrs)
- Last Updated
- Oct 5, 2021
- License
-
209008868 (IL)
Practice Information
- Address
-
111 N COUNTY FARM RDWHEATON, IL, 601873977Browse IL providers · Browse ZIP 60187
- Phone
- 6306827400
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in WHEATON, IL
| Name | Credential | NPI |
|---|---|---|
| DORIS M VAN BYSSUM I | PSY.D. | 1063515369 |
| DR. SHARON S BECK | PMHNP | 1821161886 |
| HAROLD TACUBOY | PMHNP | 1710258637 |
| MRS. KIMBERLY ANN MULVEY | APN | 1053657270 |
| GRANT P TYLER | NP | 1346641644 |
| MRS. MARYELLEN FLEMING-PRICE | APN | 1114383213 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.