Ketaki Shah, DDS - Dentist in Elgin, IL

Ketaki Shah, DDS is a Dentist based in Elgin, Illinois. Ketaki Shah is licensed to practice in Illinois (license number 019025546) and her current practice location is 615 S Randall Road, Elgin, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 697-5100.

NPI number for Ketaki Shah is 1881925329 and her current mailing address is 1990 Ridgemore Dr, Bartlett, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881925329.

Contact Information

Ketaki Shah, DDS
615 S Randall Road,
Elgin, IL 60123
(847) 697-5100
(847) 697-5109

Map and Direction




Healthcare Provider's Profile

Full NameKetaki Shah
GenderFemale
SpecialityDentist
Location615 S Randall Road, Elgin, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881925329
  • Provider Enumeration Date: 01/22/2010
  • Last Update Date: 01/22/2010

Medical Identifiers

Medical identifiers for Ketaki Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881925329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019025546 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ketaki Shah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ketaki Shah, DDS
1990 Ridgemore Dr,
Bartlett, IL 60103-1320

Ph: (847) 697-5100
Ketaki Shah, DDS
615 S Randall Road,
Elgin, IL 60123

Ph: (847) 697-5100

Reviews and Comments


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