Provider Demographics
NPI:1104251594
Name:HOODA, SHVETA (MD)
Entity type:Individual
Prefix:DR
First Name:SHVETA
Middle Name:
Last Name:HOODA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHVETA
Other - Middle Name:
Other - Last Name:RANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 EOFF ST
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3823
Mailing Address - Country:US
Mailing Address - Phone:304-234-8663
Mailing Address - Fax:304-234-8960
Practice Address - Street 1:2000 EOFF ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3823
Practice Address - Country:US
Practice Address - Phone:304-234-8101
Practice Address - Fax:304-234-8691
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25324207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0090760Medicaid
WV3810026513Medicaid
WV3810026513Medicaid
OH0090760Medicaid