Provider Demographics
NPI:1154307478
Name:DOSHI, SHEETEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEETEN
Middle Name:B
Last Name:DOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9250 SW HALL BLVD
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-6721
Mailing Address - Country:US
Mailing Address - Phone:503-293-0161
Mailing Address - Fax:
Practice Address - Street 1:9250 SW HALL BLVD
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6721
Practice Address - Country:US
Practice Address - Phone:503-293-0161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD28478207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA496009OtherTUFTS HEALTH PLAN
MAAA89105OtherHARVARD PILGRIM HEALTHCAR
TX175902901Medicaid
NH30206804OtherNH MEDICAID
MA496009OtherTUFTS HEALTH PLAN
TX8D5144Medicare ID - Type Unspecified
I31740Medicare UPIN