Provider Demographics
NPI:1184660771
Name:SHETH, HARSHA P (MD)
Entity Type:Individual
Prefix:
First Name:HARSHA
Middle Name:P
Last Name:SHETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13768 ROSWELL AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-1401
Mailing Address - Country:US
Mailing Address - Phone:909-364-0600
Mailing Address - Fax:909-364-1126
Practice Address - Street 1:13768 ROSWELL AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1401
Practice Address - Country:US
Practice Address - Phone:909-364-0600
Practice Address - Fax:909-364-1126
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2012-02-24
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Provider Licenses
StateLicense IDTaxonomies
CAA49987208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA10971999OtherCAQH