Provider Demographics
NPI:1801100227
Name:RAVAL, SHEETAL SHAH (MD)
Entity type:Individual
Prefix:DR
First Name:SHEETAL
Middle Name:SHAH
Last Name:RAVAL
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 1:471 E BROAD ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3806
Mailing Address - Country:US
Mailing Address - Phone:614-221-9219
Mailing Address - Fax:614-902-3268
Practice Address - Street 1:471 E BROAD ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-3842
Practice Address - Country:US
Practice Address - Phone:336-274-9617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1233702085R0202X
MDD00755352085R0202X
OH351233702085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging