Healthcare Provider Details

I. General information

NPI: 1801062476
Provider Name (Legal Business Name): SHEETAL GAURANG SHETH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 ELM ST STE 225
BETHESDA MD
20814-0007
US

IV. Provider business mailing address

2300 EYE STREET NW SUTIE 700
WASHINGTON DC
20037
US

V. Phone/Fax

Practice location:
  • Phone: 240-395-1050
  • Fax:
Mailing address:
  • Phone: 202-715-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD0073258
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD040201
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD040201
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: