Subhash P Sheth, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

22962 Issued in KY

Practice address

1460 Bluegrass Ave
Louisville, KY 40215-1272

Phone

(502) 361-8496

Fax

(502) 361-3377

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1942201652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 CREEKBOTTOM RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402415507",
            "telephone_number": "502-428-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151272",
            "telephone_number": "502-361-8496",
            "fax_number": "502-361-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETH",
        "first_name": "SUBHASH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KY",
            "license": "22962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6590070600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64229628",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl'S House LLC
• Prakash Shivarm Shet, M.D.
• Aashka Sheth
• Bakula S Sheth, MD
• Rajesh K Sheth, MD
• Mrinali Shetty, M.D.
• Aarushi Shewale
• Ping Shi
• Shields & Fidanza, LLC
• Shields & Fidanza, LLC

• Medical Oncology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Medical Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.