Provider Demographics
NPI:1720246275
Name:SHETH, RISHI N (MD)
Entity Type:Individual
Prefix:
First Name:RISHI
Middle Name:N
Last Name:SHETH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:670 GLADES RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6461
Mailing Address - Country:US
Mailing Address - Phone:561-395-2626
Mailing Address - Fax:561-395-7026
Practice Address - Street 1:670 GLADES RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6461
Practice Address - Country:US
Practice Address - Phone:561-395-2626
Practice Address - Fax:561-395-7026
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2013-05-08
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Provider Licenses
StateLicense IDTaxonomies
NY243622-1207T00000X
FLME98749207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery