Individual
DR. MAHENDRA R. SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 11TH ST SW, LIVE OAK, FL 32064-3608
(386) 362-0800
(386) 362-7584
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-6310
(207) 764-6993
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME125970
FL
2086S0129X
Vascular Surgery Physician
MD16294
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538186978
—
ME
Enumeration date
07/15/2006
Last updated
06/24/2019
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