Ken Shadman Ota in Scottsdale - Family Medicine

Ken Shadman Ota - NPI 1750544276

Ken Shadman Ota is a Family Medicine in Scottsdale, Arizona. Ken Shadman Ota practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ken Shadman Ota is 1750544276. The last update date is 2019-11-22.

Ken Shadman Ota's current location address is 9821 N 95th St Ste 101, Scottsdale, Arizona. You can contact this provider via phone number 4803658035 and fax number 4807187373. The mailing address for Ken Shadman Ota is 9821 N 95th St Ste 101, Scottsdale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Ken Shadman Ota
Address 9821 N 95th St Ste 101, Scottsdale, Arizona
Phone Number 4803658035
Fax Number 4807187373
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1750544276
Provider Enumeration Date 2008-07-03
Last Updated Date 2019-11-22

Provider Mailing Address Detail

Address 9821 N 95th St Ste 101
City Scottsdale
State Arizona (AZ)
Post Code 852584589
Phone Number 4803658035
Fax Number 4807187373

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5305
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Ken Shadman Ota

What is the Ken Shadman Ota's unique identification number?

The Ken Shadman Ota has been assigned the NPI (National Provider Identifier) Number 1750544276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Ken Shadman Ota is located?

The Ken Shadman Ota is situated at the following address: 9821 N 95Th St Ste 101, Scottsdale, AZ, 852584589.

What is Ken Shadman Ota's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ken Shadman Ota is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750544276 to Ken Shadman Ota?

The Centers for Medicare & Medicaid Services originally issued the 1750544276 to Ken Shadman Ota on 2008-07-03.

When was the information related to Ken Shadman Ota most recently updated or refreshed?

The details pertaining to the Ken Shadman Ota, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-11-22.

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