Provider Demographics
NPI:1821153750
Name:HANSRAJ SHETH GENERAL SURGERY PC
Entity Type:Organization
Organization Name:HANSRAJ SHETH GENERAL SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANSRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-228-4444
Mailing Address - Street 1:PO BOX 1140
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-8140
Mailing Address - Country:US
Mailing Address - Phone:845-582-0919
Mailing Address - Fax:845-582-0922
Practice Address - Street 1:667 STONELEIGH AVE STE 302
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2455
Practice Address - Country:US
Practice Address - Phone:845-582-0919
Practice Address - Fax:845-582-0922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228725-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2604H1Medicare ID - Type Unspecified