Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ketki S Shah, MD

Individual provider Psychiatry Physician · NPI 1053406959

Ketki S Shah, MD is a Psychiatry Physician in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1276 Fulton Ave
Bronx, NY 10456-3402
Phone: (718) 901-8445
Fax: (718) 901-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 173995 (NY)

Record details

NPI number1053406959
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 15, 2014

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