Shetty, Kadandale Ravindranath
Shetty, Kadandale Ravindranath is an individual health care provider with primary practice located at 8 Dixon Ave , Amityville NY 11701-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Shetty, Kadandale Ravindranath can be contacted via phone (631) 789-4433.Contact Information
Primary practice address
8 Dixon Ave
Amityville NY 11701-2808
Phone: (631) 789-4433
Fax: (631) 789-4761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 1105011 | New York |
Profile Details
| NPI number | 1568681401 |
|---|---|
| LBN Legal business name | Shetty, Kadandale Ravindranath |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1568681401 | NPPES |
| New York | Other | 12040 | HIP |
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