Provider Demographics
NPI:1275799942
Name:SHETH, SUJATA KIRTIKANT (MD)
Entity Type:Individual
Prefix:
First Name:SUJATA
Middle Name:KIRTIKANT
Last Name:SHETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 E 57TH ST
Mailing Address - Street 2:APT #7A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2811
Mailing Address - Country:US
Mailing Address - Phone:210-364-5553
Mailing Address - Fax:
Practice Address - Street 1:212 E 57TH ST
Practice Address - Street 2:APT #7A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2811
Practice Address - Country:US
Practice Address - Phone:210-364-5553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program