License holder summary

Ken Shadman Ota DO is a Osteopathic Physician licensed to practice in Arizona. The address on file for Ken Shadman Ota DO is Banner Good Samaritan Medical Center, 1111 E. McDowell Rd., Phoenix AZ 85006. This licensed professional license is current. The license was granted 07/30/2009.

Arizona

Board of Licensing

Ken Shadman Ota DO
Osteopathic Physician
License number
005305
Date granted
07/30/2009
Class
Osteopathic Physician
Status
Active
Address
Banner Good Samaritan Medical Center, 1111 E. McDowell Rd., Phoenix AZ 85006
arizonalicensing.com
ID 22377569
LAST UPDATED 2026-04-19 18:43:58 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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