Provider Demographics
NPI:1134140270
Name:SHETH, HEMANT K (MD, FCCP)
Entity Type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:K
Last Name:SHETH
Suffix:
Gender:M
Credentials:MD, FCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 FARAON ST STE 210B
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3512
Mailing Address - Country:US
Mailing Address - Phone:816-271-1385
Mailing Address - Fax:816-271-1379
Practice Address - Street 1:5301 FARAON ST STE 210B
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3512
Practice Address - Country:US
Practice Address - Phone:816-271-1385
Practice Address - Fax:816-271-1379
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDR2P06207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO206716102Medicaid
MO206716102Medicaid
MOE87786Medicare UPIN