DR. MITAL P SHETH


Address: 2422 S Broad St, 1st Floor, Philadelphia, PA 19145-4418
Phone: 2153891748

DR. MITAL P SHETH (NPI# 1053607606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053607606
Replacement NPI 1053607606
Entity Type Individual
Full Name DR. MITAL P SHETH
Credential M.D.
Practice Address 2422 S Broad St
1st Floor
Philadelphia
PA 19145-4418
Practice Telephone 2153891748
Practice Fax Number 2153890604
Mailing Telephone 2153891748
Mailing Fax Number 2153890604
Enumeration Date 2007-05-07
Last Update Date 2018-11-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
25MA08233500 NJ Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD426615 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA RAILROAD MEDICARE P00681562 01
PA 1021963950001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3 Crescent Dr Fl 4, Philadelphia, PA 191121016 2155033300 2155033321

Office Location

Street Address 2422 S BROAD ST
1ST FLOOR
City PHILADELPHIA
State PA
Zip Code 19145-4418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922082536 David M Shipon Internal Medicine 2422 S Broad St, 1st Floor, Philadelphia, PA 19145-4418 2005-12-06
1326314337 Kathryn Ann Mcgrath Family Medicine 2422 S Broad St, 2nd Floor, Philadelphia, PA 19145 2012-03-25
1306890421 The Heart Center of Philadelphia, P.C. Specialist 2422 S Broad St, Philadelphia, PA 19145-4418 2006-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518564350 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 2300a Rear W Oregon Ave, Philadelphia, PA 19145 2020-10-05
1376069559 Kyle James Hughes Physical Therapist 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 2017-08-18
1821519752 John A Takacs Dmd Clinic/Center 1707w Passyunk Ave, Philadelphia, PA 19145 2017-06-30
1033573209 Kenneth Donahue Dentist 1517 Packer Avenue, Philadelphia, PA 19145 2016-04-13
1437516895 Kimberly Wyand Physical Therapist 2129 Oregon St, Philadelphia, PA 19145 2016-01-15
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
1528333846 Gina Marie Doyle Registered Nurse 1930 S. Broad Street, Philadelphia, PA 19145 2012-03-20
1639446214 Thao T Tran Pharmacist 2014-24 South Broad St, Philadelphia, PA 19145 2011-11-25
1649573171 Phyllis Yang Internal Medicine 1700 S Broad St, Unit 201, Philadelphia, PA 19145 2010-12-05
1326364613 South Philadelphia Open Mri, LLC Clinic/Center 1834 West Oregon Avenue, Philadelphia, PA 19145 2010-04-13
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780198754 William Sigmund Internal Medicine 608 Spruce St, Philadelphia, PA 19106-4114 2017-11-28
1982128690 Mercy Management of Sepa Internal Medicine 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 2017-08-03
1346651130 Chukwunweike Nwosu Internal Medicine 219 North Broad Street, Arnold T Berman Building, Philadelphia, PA 19107-3720 2014-05-14
1053736611 Mary Osbakken Internal Medicine 29 W Walnut Ln, Philadelphia, PA 19144-2609 2014-02-19
1275969131 Vohra Post Acute Care Physicians of The Northeast Pa Internal Medicine 8400 Bustleton Ave Ste 9, Philadelphia, PA 19152-1918 2013-09-23
1194169730 Edward Sawyer Cooper Internal Medicine 6710 Lincoln Drive, Philadelphia, PA 19119 2013-04-25
1720322969 Robert Alan Keisman Internal Medicine 300 Spring Garden St, Philadelphia, PA 19123-2932 2012-11-10
1497058390 Urban Health Initiatives, Inc. Internal Medicine 1408 S. Broad Street, Philadelphia, PA 19146-4808 2010-12-15
1104133354 Rajendra N Seth Md Associates Internal Medicine 5901 Summerdale Ave, Philadelphia, PA 19149-3626 2010-09-09
1194040436 Paul Nicolas Fiorilli Internal Medicine 3400 Civic Center Blvd Fl 11, Philadelphia, PA 19104-5159 2010-03-30
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19145

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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