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NPI Code Detail

MEDICARE: HEIDI M. SHETH

MEDICARE: HEIDI M. SHETH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305206482VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2496633OTHERMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053623827
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI M. SHETH
Provider Business Mailing Address
First Line : SENTARA THERAPY SOLUTIONS
Second Line : 984B LASKIN RD.
City : VIRGINIA BEACH
State : VA
Zip : 23451-3905
Country : US
Telephone Number : 757-395-6900
Fax Number : 757-425-7180
Provider Business Practice Location Address
First Line : SENTARA THERAPY SOLUTIONS
Second Line : 984B LASKIN RD.
City : VIRGINIA BEACH
State : VA
Zip : 23451-3905
Country : US
Telephone Number : 757-395-6900
Fax Number : 757-425-7180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2010
Last Update Date : 12/26/2019

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