Organization
VEDA MANAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAIJU SHETH M.D. (MBR)
(636) 212-0667
Entity
Organization
Contact information
Practice address
10831 BARBADOS ISLE DR, TAMPA, FL 33647-2792
(636) 212-0667
Mailing address
10831 BARBADOS ISLE DR, TAMPA, FL 33647-2792
(636) 212-0667
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME101617
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME101617
FL
207R00000X
Internal Medicine Physician
ME101617
FL
208M00000X
Hospitalist Physician
ME101617
FL
282N00000X
General Acute Care Hospital
Primary
ME101617
FL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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