Healthcare Provider Details

I. General information

NPI: 1770440679
Provider Name (Legal Business Name): ANITA SHET MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7466 E MERCER WAY
MERCER ISLAND WA
98040-5819
US

IV. Provider business mailing address

7466 E MERCER WAY
MERCER ISLAND WA
98040-5819
US

V. Phone/Fax

Practice location:
  • Phone: 443-253-5837
  • Fax:
Mailing address:
  • Phone: 443-253-5837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD70050912
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: