KENNETH L. SHAN MD – NPI #1629605431
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

KENNETH SHAN is a physician located in ARCADIA, CA. NPPES has assigned the NPI number 1629605431 to KENNETH SHAN on March 24, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Mar 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH SHAN below.

NPI Profile for
KENNETH L. SHAN

NPI Number
1629605431
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH L. SHAN
Credentials
MD
Primary location
612 W DUARTE RD STE 601
ARCADIA, CA 91007-9240
Phone: (818) 659-5887 Fax: (320) 640-1309
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Mar 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
CA 185090

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.