Shantharam Shetty, Md Med Pro Corp,

LBN: Shantharam Shetty, Md Med Pro Corp,
Shantharam Shetty, Md Med Pro Corp, is an health care organization with primary practice located at 1964 State St Ste 206 , New Albany IN 47150-4992. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Shantharam Shetty, Md Med Pro Corp, can be contacted via phone (812) 949-9918, or through Shetty, Shantharam H via phone (812) 949-9918.

Contact Information

Primary practice address
1964 State St Ste 206 New Albany IN 47150-4992
Phone: (812) 949-9918
Fax: (812) 949-9918
Website:
Map and Directions
Authorized official contact:
Name: Shetty, Shantharam H Doctor of Medicine (MD)
Phone: (812) 949-9918

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01031319A Indiana

Profile Details

NPI number 1871876458
LBN Legal business name Shantharam Shetty, Md Med Pro Corp,
DBA Doing business as
Authorized official Shetty, Shantharam H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2011
Last updated Oct 3rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871876458 NPPES
Indiana MEDICAID 100075510

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