Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | C52808 | CA |
N | 2080P0210X | Pediatric Nephrologist | K6322 | TX |
NPI | 1003996448 |
---|---|
Provider Name | Rita Sheth |
First Address | Loma Linda, CA 92350-1700 |
Second Address | Loma Linda, CA 92350-1700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 30/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118396403 | (05) | TX |
G80537 | (02) |