MEDICARE: DR. KEYUR SHODHAN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	B48380	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	954842438	OTHER		TAX ID

General Provider Information

NPI Number	:	1770640914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEYUR SHODHAN DDS

Provider Business Mailing Address
First Line	:	11213 PALM DR
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-3162
Country	:	US
Telephone Number	:	760-251-2666
Fax Number	:

Provider Business Practice Location Address
First Line	:	12526 PALM DR
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-4559
Country	:	US
Telephone Number	:	760-251-2666
Fax Number	:	760-251-7655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	02/26/2020

Similar Medicare Providers

1437112513 — LORRAINE Y CHUN M.D.
Practice Location Address:

12520 PALM DR
DESERT HOT SPRINGS, CA
92240-4559

Practice Phone: 760-416-3770
Practice Fax: 858-634-6964

1376592097 — JOSEPH MITCHELL DAHMAN FNP-C
Practice Location Address:

12520 PALM DR
DESERT HOT SPRINGS, CA
92240-4559

Practice Phone: 760-676-5800
Practice Fax:

1023143633 — RAQUEL M. MEDEIROS PA-C
Practice Location Address:

12560 PALM DR
DESERT HOT SPRINGS, CA
92240-4559

Practice Phone: 760-251-3401
Practice Fax: 760-251-9592

1407288061 — DAP HEALTH, INC.
Practice Location Address:

12520 PALM DR
DESERT HOT SPRINGS, CA
92240-4559

Practice Phone: 760-416-3770
Practice Fax:

1073209888 — DESERT AIDS PROJECT
Practice Location Address:

12520 PALM DR
DESERT HOT SPRINGS, CA
92240-4559

Practice Phone: 760-416-3770
Practice Fax:

1992093595 — JOHNNY R SKEESE III RPH
Practice Location Address:

301 S HIGHWAY 127
RUSSELL SPRINGS, KY
42642-4559

Practice Phone: 270-866-7166
Practice Fax: 270-866-9332

Directions to “ DR. KEYUR SHODHAN DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.