Individual
KETAN R SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE, MA 02139-1047
(617) 665-3575
Mailing address
118 BRISTERS HILL RD, CONCORD, MA 01742-3502
(617) 591-4738
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
160186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA43529
HARVARD PILGRIM
MA
Enumeration date
07/15/2006
Last updated
12/09/2011
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