Shetty, Athmaram
Shetty, Athmaram is an sole proprietor health care provider with primary practice located at 7345 Watson Rd , Saint Louis MO 63119-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shetty, Athmaram can be contacted via phone (314) 752-7100.Contact Information
Primary practice address
7345 Watson Rd
Saint Louis MO 63119-4405
Phone: (314) 752-7100
Fax: (314) 752-3284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 104222 | Missouri |
Profile Details
| NPI number | 1164416145 |
|---|---|
| LBN Legal business name | Shetty, Athmaram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Mar 14th, 2017 - about 9 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 | 1164416145 | NPPES |
| Missouri | MEDICAID | 209776806 |
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