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SHETH SUSHIL A MD SC NPI 1780773051


NPI Information

NPI: 1780773051
Provider Name: SHETH SUSHIL A MD SC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1 INGALLS DR
HARVEY, IL
ZIP 60426
Phone: (708) 799-5337
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SHETH SUSHIL A MD SC is a cardiovascular disease internal medicine in Harvey, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SHETH SUSHIL A MD SC NPI is 1780773051. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 INGALLS DR
HARVEY, IL
ZIP 60426-558
Phone: (708) 799-5337

The provider's authorized official is Sushil A Sheth .
The authorized official title is President and has the following contact phone number (708) 799-5337.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease036081476ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1184890MEDICARE ID-TYPE UNSPECIFIEDINDIANAINDIANA MEDICARE
2380951MEDICARE ID-TYPE UNSPECIFIEDILLINOISILLINOIS MEDICARE
3=========OTHERILLINOISCOMMERCIAL INSURANCE
41626060OTHERILLINOISBLUE SHIELD
5036081476MEDICAIDILLINOIS
6E58642MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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