| Organization Name: | PULIN A SHETH MD, INC. |
| NPI Number: | 1013156843 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PULIN A SHETH (PRESIDENT) |
| Mailing Address: | 211 N Prairie Ave Inglewood |
| State: | CA US |
| Postal Code: | 903011412 |
| Phone Number: | 3106729729 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2009 |
| NPI Last Update Date: | 02/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | G81342 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |