Shetty, Jagadeesha N
Shetty, Jagadeesha N is an individual health care provider with primary practice located at 120 Irmc Dr Suite160, Indiana PA 15701-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Shetty, Jagadeesha N can be contacted via phone (724) 465-2676.Contact Information
Primary practice address
120 Irmc Dr Suite160
Indiana PA 15701-3674
Phone: (724) 465-2676
Fax: (724) 349-1830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD064511L | Pennsylvania |
Profile Details
| NPI number | 1932169620 |
|---|---|
| LBN Legal business name | Shetty, Jagadeesha N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Apr 25th, 2016 - about 10 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 | 1932169620 | NPPES |
| Pennsylvania | Other | CI1160 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 0016948000002 | RAILROAD MEDICARE |
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