Shetty, Anisha Ram
Shetty, Anisha Ram is an individual health care provider with primary practice located at 2285 Sequoia Dr , Aurora IL 60506-6209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shetty, Anisha Ram can be contacted via phone (630) 859-6700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 791707125 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-122880 | Illinois |
Profile Details
| NPI number | 1629247465 |
|---|---|
| LBN Legal business name | Shetty, Anisha Ram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Nov 18th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629247465 | NPPES |
| Illinois | MEDICAID | 036122880 |
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