Provider Demographics
NPI:1780734947
Name:SHETE, SHEFALI SUNIL (MD, MPH)
Entity type:Individual
Prefix:
First Name:SHEFALI
Middle Name:SUNIL
Last Name:SHETE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39400 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2310
Mailing Address - Country:US
Mailing Address - Phone:510-979-0603
Mailing Address - Fax:
Practice Address - Street 1:43971 BOSCELL RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-5139
Practice Address - Country:US
Practice Address - Phone:510-979-0603
Practice Address - Fax:510-979-0798
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92483208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics