Provider Demographics
NPI:1184685877
Name:SHETH, PARTHIV J (MD)
Entity Type:Individual
Prefix:DR
First Name:PARTHIV
Middle Name:J
Last Name:SHETH
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 1:9228 GEORGE WASHINGTON MEMORIAL HWY
Mailing Address - Street 2:P.O. BOX 2468
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-4162
Mailing Address - Country:US
Mailing Address - Phone:804-693-5068
Mailing Address - Fax:804-693-7407
Practice Address - Street 1:9228 GEORGE WASHINGTON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4162
Practice Address - Country:US
Practice Address - Phone:804-693-5068
Practice Address - Fax:804-693-7407
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012268722084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA080759MOtherSENTARA
VA142821OtherHEALTHKEEPERS
VA259243Medicaid
VA264780000OtherMAGELLAN
VAO87857OtherSENTARA
VA259243OtherANTHEM
VA010086639Medicaid
VA331739OtherTRICARE
VA142821Medicaid
VA259243OtherHEALTHKEEPERS
VA7167338OtherAETNA
10389124OtherCAQH
VA142821OtherANTHEM
VA271649OtherVALUE OPTIONS
VAO87857OtherCARENET / SOUTHERN HEALTH
VA004945115Medicaid
VA264780000OtherMAGELLAN
VAH14939Medicare UPIN
VA260003075Medicare PIN