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General NPI Number Information
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NPI Number | 1710024344
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Entity Type | Organization
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Legal Business Name | ATUL S.SHETH, MD MED CORPORATION
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 755 S BERNARDO AVE SUITE 101
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City | SUNNYVALE
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State | CA
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Zip | 94087-1022
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Country | US
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Telephone | 408-733-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 755 S BERNARDO AVE SUITE 101
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City | SUNNYVALE
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State | CA
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Zip | 94087-1022
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Country | US
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Telephone | 408-733-6000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ATUL S SHETH
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Credential | M.D.
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Telephone | 408-733-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | A40513
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | C41385
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License Number State | CA
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