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Individual

OSAMA SHETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(773) 263-8984
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036123521
IL
207P00000X
Emergency Medicine Physician
Primary
4301095767
MI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
35.122623
OH
208000000X
Pediatrics Physician
35.122623
OH
208000000X
Pediatrics Physician
4301095767
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114874
OH
Enumeration date
05/28/2009
Last updated
09/02/2025
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