Most Relevant Information
Provider Data
| NPI Number: | 1003593534 |
| Provider Name: | MANSI SHETH DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | OT023026 |
Most Important Dates
| Enumeration Date: | 06/27/2023 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
10800 KNIGHTS RD
PHILADELPHIA
PA
191144200
Practice Location Phone/Fax
| Phone: | 2156125161 |
| Fax: |
Provider Mailing Location
10800 KNIGHTS RD
PHILADELPHIA
PA
191144200
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |