Basic Information
| Provider Information | |||||||||
| NPI: | 1164817235 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHETH | ||||||||
| FirstName: | NAKUL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 CEDAR ST., ROOM TE2 | ||||||||
| Address2: | YALE-NEW HAVEN HOSPITAL, DEPARTMENT OF RADIOLOGY | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065208042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037855253 | ||||||||
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| Practice Location | |||||||||
| Address1: | 333 CEDAR ST., ROOM TE2 | ||||||||
| Address2: | YALE-NEW HAVEN HOSPITAL, DEPARTMENT OF RADIOLOGY | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065208042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037855253 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2015 | ||||||||
| LastUpdateDate: | 07/14/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2085N0700X | 307445 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | 2085R0202X | 307445 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.