Individual
DR. MITAL P SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2422 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19145-4418
(215) 389-1748
(215) 389-0604
Mailing address
2422 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19145-4418
(215) 389-1748
(215) 389-0604
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA08233500
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD426615
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021963950001
—
PA
01
—
P00681562
RAILROAD MEDICARE
PA
Enumeration date
05/07/2007
Last updated
11/21/2018
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