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NPI Code Detail

MEDICARE: DR. ANUJA M SHETH M.D.

MEDICARE:  DR. ANUJA M SHETH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician52774WI
2207R00000XInternal Medicine Physician2014-02222NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
152774-20OTHERWIWISCONSIN STATE LICENSE
24301088161OTHERMIMICHIGAN LICENSE

General Provider Information

NPI Number : 1366683419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANUJA M SHETH M.D.
Provider Business Mailing Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-615-5680
Fax Number : 910-615-5080
Provider Business Practice Location Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-615-5680
Fax Number : 910-615-5080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2009
Last Update Date : 05/12/2026

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Directions to “ DR. ANUJA M SHETH M.D.” Practice Location

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