Individual
VISHWA SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 E MARCH LN STE B265, STOCKTON, CA 95210-6655
(209) 546-1868
(209) 461-6505
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES - 2ND FLOOR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127090
CA
207RN0300X
Nephrology Physician
Primary
A127090
CA
208M00000X
Hospitalist Physician
A127090
CA
Other
Enumeration date
08/22/2011
Last updated
08/04/2021
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