Individual
DR. MADHUSUDAN T SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
16173 LIBBY RD, MAPLE HTS, OH 44137-1245
(216) 662-3040
(216) 662-3870
Mailing address
16173 LIBBY RD, MAPLE HTS, OH 44137-1245
(216) 662-3040
(216) 662-3870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038621S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130920
UNICARE
OH
01
—
010048866
RAILROAD MEDICARE
OH
05
—
0329175
—
OH
Enumeration date
08/30/2005
Last updated
09/10/2007
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