Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEN SHADMAN OTA, DO
ActiveDR. KEN SHADMAN OTA, DO is a Family Medicine healthcare provider located in SCOTTSDALE, Arizona. NPI 1750544276 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SCOTTSDALE, AZ
Registration Details
- NPI Number
- 1750544276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2008 (18.109383556287 yrs)
- Last Updated
- Nov 22, 2019
- License
-
5305 (AZ)
Practice Information
- Address
-
9821 N 95TH ST STE 101SCOTTSDALE, AZ, 852584589Browse AZ providers · Browse ZIP 85258
- Phone
- 4803658035
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SCOTTSDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA L KEGOWICZ | M.D. | 1063415529 |
| ROBERT A MARLOW | M.D. | 1316940877 |
| RICHARD RUTKOWSKI | M.D. | 1588667042 |
| MARVIN M BELL | M.D. | 1760485239 |
| DR. MARTIN BLUME | D.O. MBA | 1760486310 |
| DR. CARLTON A RICHIE | D.O. | 1699770925 |
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.