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General NPI Number Information
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NPI Number | 1396851648
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Entity Type | Individual
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Provider Name | SHREYA S SHETH MD
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-873-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 6621 FANNIN ST RM TXWT19TH
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City | HOUSTON
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State | TX
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Zip | 77030-2358
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Country | US
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Telephone | 713-873-8890
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ML20008691
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R0500
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | A108530
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | R0500
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License Number State | TX
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