Provider Demographics
NPI:1245304138
Name:SHETH, ARUNA N (MD)
Entity type:Individual
Prefix:
First Name:ARUNA
Middle Name:N
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 1:5808 STONERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-1492
Mailing Address - Country:US
Mailing Address - Phone:903-832-6608
Mailing Address - Fax:903-838-5015
Practice Address - Street 1:5808 STONERIDGE DR
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-1492
Practice Address - Country:US
Practice Address - Phone:903-832-6608
Practice Address - Fax:903-838-5015
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5618207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXX23890Medicare UPIN