Shetty, Amita Sadashiv

Shetty, Amita Sadashiv is an individual health care provider with primary practice located at 3308 Melrose Rd , Fayetteville NC 28304-1604. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Shetty, Amita Sadashiv can be contacted via phone (910) 615-3200.

Contact Information

Primary practice address
3308 Melrose Rd Fayetteville NC 28304-1604
Phone: (910) 615-3200
Fax: (910) 615-3201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 009700753 North Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 9700753 North Carolina

Profile Details

NPI number 1548267958
LBN Legal business name Shetty, Amita Sadashiv
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 27th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548267958 NPPES
North Carolina MEDICAID 891173E
North Carolina Other 1173E

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