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Licensee Information

Ketan Dhan Shah - MD
200000133
Active
No
01/22/2000
06/15/2027

Active Supervisees

NameTypeStatusApprovedInactive
Hickman, Agwanda Marie Nurse Practitioner Active 10/19/2023
James, Lourdes J Nurse Practitioner Active 01/03/2019
Simmons, Briana Renee Physician Assistant Active 02/27/2017

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Georgia
Illinois

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 7/29/2026 10:09:40 AM
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