Individual
DR. ASHISH SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
924 CROSS LANES DR, CROSS LANES INTERNAL MEDICINE GROUP INC, CROSS LANES, WV 25313-1315
(304) 776-9872
(304) 204-2385
Mailing address
924 CROSS LANES DR, WV PRIMARY CARE, CROSS LANES, WV 25313-1315
(304) 776-9872
(304) 204-2385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19078
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080729000
—
WV
Enumeration date
11/02/2005
Last updated
12/20/2011
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