Individual
SUSHIL A SHETH
Active
Individual
SUSHIL A SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01044948A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
036081476
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081476
—
IL
01
—
1626060
BLUE SHIELD
IL
01
—
364228422
COMMERCIAL INSURANCE
IL
Enumeration date
10/12/2006
Last updated
09/07/2023
Update your record
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