Organization
RIVER CITY GERIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAYESH SHETH MD (OWNER PHYSICIAN)
(502) 541-3494
Entity
Organization
Contact information
Practice address
6823 HIGHWAY 311, SELLERSBURG, IN 47172-1801
(502) 541-3494
(502) 526-4565
Mailing address
6823 HIGHWAY 311, SELLERSBURG, IN 47172-1801
(502) 541-3494
(502) 526-4565
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
36086
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65935512
—
KY
Enumeration date
12/11/2006
Last updated
09/25/2007
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