Provider Demographics
NPI:1225658990
Name:SHETH, NANDISH APURVA (MBBS)
Entity Type:Individual
Prefix:
First Name:NANDISH
Middle Name:APURVA
Last Name:SHETH
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 W 6TH ST STE 1121
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4548
Mailing Address - Country:US
Mailing Address - Phone:972-832-8379
Mailing Address - Fax:
Practice Address - Street 1:1350 GRAND SUMMIT DR APT 272
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-2582
Practice Address - Country:US
Practice Address - Phone:972-832-8379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty