Provider Demographics
NPI:1053519595
Name:SHETH, SEEMA SAHAI (MD)
Entity type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:SAHAI
Last Name:SHETH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8691 CREST CT
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7126
Mailing Address - Country:US
Mailing Address - Phone:515-835-7535
Mailing Address - Fax:
Practice Address - Street 1:3060 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1530
Practice Address - Country:US
Practice Address - Phone:847-394-1320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036127274207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILPO1231093OtherMEDICARE RAILROAD
IL906720004Medicare PIN
IL906723004Medicare PIN
ILF400179701Medicare PIN