Individual
KETAN R SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 POPLAR CHURCH RD, SUITE 400, CAMP HILL, PA 17011-2203
(717) 724-6450
(717) 724-6451
Mailing address
100 N ACADEMY A VE SUITE 210, DANVILLE, PA 17822-4093
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD049666L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014188610001
—
PA
Enumeration date
02/15/2006
Last updated
07/15/2020
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