Provider Demographics
NPI:1386835841
Name:SHETH, SOHAM GITESHKUMAR (MBBS,MPH)
Entity Type:Individual
Prefix:DR
First Name:SOHAM
Middle Name:GITESHKUMAR
Last Name:SHETH
Suffix:
Gender:M
Credentials:MBBS,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 MASTERS CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-9451
Mailing Address - Country:US
Mailing Address - Phone:757-941-7843
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:501 BAYLOR CT STE 100
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3690
Practice Address - Country:US
Practice Address - Phone:757-991-0190
Practice Address - Fax:757-991-0191
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012434312084N0008X, 2084N0600X, 2084S0012X, 2084N0400X
MI43010824742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine