Individual
NIRAV A SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0498
Mailing address
201 PARK STREET, BOWLING GREEN, KY 42101
(270) 781-5111
(270) 780-0498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35890
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64036163
—
KY
01
—
P00456287
MEDICARE RAILROAD
KY
Enumeration date
08/04/2006
Last updated
07/02/2014
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