Provider Demographics
NPI:1083901375
Name:SHETH, TEJAS (MD)
Entity Type:Individual
Prefix:DR
First Name:TEJAS
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5851 W 95TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2362
Mailing Address - Country:US
Mailing Address - Phone:708-857-7230
Mailing Address - Fax:708-425-5779
Practice Address - Street 1:5851 W 95TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2362
Practice Address - Country:US
Practice Address - Phone:708-857-7230
Practice Address - Fax:708-425-5779
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036138350207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology