KETAN K SHETH MD

Allergy and Immunology

Lafayette, Indiana

Provider NPI: 1245209832

Provider Information:
 KETAN K SHETH MD


Practice Location:
1345 UNITY PL SUITE 145A LAFAYETTE, IN 47905 US
Tel: 765-446-5040  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	IN	01040024A

Other Provider Identifiers:

Issuer	Number	State	Type
	100196140	IN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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