MEDICARE: DR. ADITI M SHETH MD

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	35.091633	OH

General Provider Information

NPI Number	:	1154597839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADITI M SHETH MD

Provider Business Mailing Address
First Line	:	5718 W MILL RD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2141
Country	:	US
Telephone Number	:	440-240-2297
Fax Number	:

Provider Business Practice Location Address
First Line	:	5718 W MILL RD
Second Line	:
City	:	BROADVIEW HEIGHTS
State	:	OH
Zip	:	44147-2141
Country	:	US
Telephone Number	:	440-240-2297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	01/17/2021

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