Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 39298 | WI |
N | 2084N0400X | Neurologist | ME102097 | FL |
Y | 2084N0402X | Child Neurologist | ME102097 | FL |
NPI | 1023081775 |
---|---|
Provider Name | Raj D Sheth |
First Address | Rockland, DE 19732-0191 |
Second Address | Jacksonville, FL 32207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 07/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32380900 | (05) | WI |
F65992 | (02) |