Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 55243 | CT |
NPI | 1124306089 |
---|---|
Provider Name | Tejas Vishveshkumar Sheth |
First Address | Hartford, CT 06102-5037 |
Second Address | Hartford, CT 06102-5037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2011 |
Last Update Date | 15/08/2017 |