Provider Demographics
NPI:1750362307
Name:SHETH, VIRAL RAS (MD)
Entity type:Individual
Prefix:DR
First Name:VIRAL
Middle Name:RAS
Last Name:SHETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:155 CRYSTAL RUN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4028
Mailing Address - Country:US
Mailing Address - Phone:845-703-6999
Mailing Address - Fax:845-703-6297
Practice Address - Street 1:70 HATFIELD LN
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6734
Practice Address - Country:US
Practice Address - Phone:845-294-7700
Practice Address - Fax:845-294-5363
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2015-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY142327207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01669103Medicaid
NYA400116236Medicare PIN
NYG11486Medicare UPIN