Provider Demographics
NPI:1609176494
Name:SHETH, HINA SURESH (MD)
Entity Type:Individual
Prefix:DR
First Name:HINA
Middle Name:SURESH
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 1:795 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5309
Mailing Address - Country:US
Mailing Address - Phone:718-284-6091
Mailing Address - Fax:718-282-1116
Practice Address - Street 1:795 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5309
Practice Address - Country:US
Practice Address - Phone:718-284-6091
Practice Address - Fax:718-282-1116
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219801207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine