Provider Demographics
NPI:1790755288
Name:SHETH, ANIL U (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:U
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 1:915 GESSNER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2540
Mailing Address - Country:US
Mailing Address - Phone:713-468-5440
Mailing Address - Fax:713-973-0778
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:#360
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-468-5440
Practice Address - Fax:713-973-0778
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3608174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0994618-02Medicaid
TX0994618-02Medicaid
TXE08640Medicare UPIN