Healthcare Provider Details

I. General information

NPI: 1023041928
Provider Name (Legal Business Name): ATUL S SHETH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 S BERNARDO AVE SUITE 101
SUNNYVALE CA
94087-1022
US

IV. Provider business mailing address

755 S BERNARDO AVE SUITE 101
SUNNYVALE CA
94087-1022
US

V. Phone/Fax

Practice location:
  • Phone: 408-733-6000
  • Fax: 408-733-6012
Mailing address:
  • Phone: 408-733-6000
  • Fax: 408-733-6012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberA40513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: