Provider Demographics
NPI:1013146901
Name:SHETH, SAMAR (MD)
Entity Type:Individual
Prefix:
First Name:SAMAR
Middle Name:
Last Name:SHETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 2320
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:832-355-6676
Mailing Address - Fax:832-355-8374
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 2320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:832-355-6676
Practice Address - Fax:832-355-8374
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2017-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ1302207RC0000X, 207UN0901X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine