Provider Demographics
NPI:1366777682
Name:SHETH, SNEHA (MD)
Entity type:Individual
Prefix:DR
First Name:SNEHA
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:443-679-1382
Practice Address - Street 1:7556 TEAGUE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1213
Practice Address - Country:US
Practice Address - Phone:410-551-0499
Practice Address - Fax:410-799-9070
Is Sole Proprietor?:No
Enumeration Date:2009-10-04
Last Update Date:2016-02-29
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Provider Licenses
StateLicense IDTaxonomies
NY2620311207Q00000X
MDD0079707207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD451964ZAROtherMEDICARE PTAN