Provider Demographics
NPI:1538578018
Name:SHETH, SHAIL (MD)
Entity type:Individual
Prefix:
First Name:SHAIL
Middle Name:
Last Name:SHETH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3903 S 7TH ST STE 2F
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-5710
Mailing Address - Country:US
Mailing Address - Phone:812-234-5400
Mailing Address - Fax:812-234-5420
Practice Address - Street 1:3903 S 7TH ST STE 2F
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-5710
Practice Address - Country:US
Practice Address - Phone:812-234-5400
Practice Address - Fax:812-234-5420
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01077844A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology