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NPI Code Detail

MEDICARE: MRS. MEETA SHETH M.D.

MEDICARE: MRS. MEETA SHETH M.D.
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
1207L00000XAnesthesiology Physician4301-083775MI
2207L00000XAnesthesiology PhysicianP3449TX
3207L00000XAnesthesiology PhysicianT2018-017AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00761080OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151598147OTHERALBCBS OF AL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154359131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEETA SHETH M.D.
Provider Business Mailing Address
First Line : PO BOX 650865
Second Line :
City : DALLAS
State : TX
Zip : 75265-0865
Country : US
Telephone Number : 972-233-1999
Fax Number : 972-233-3666
Provider Business Practice Location Address
First Line : 1701 S SHACKLEFORD RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4335
Country : US
Telephone Number : 501-219-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 03/17/2018

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Directions to “ MRS. MEETA SHETH M.D.” Practice Location

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