Shetty, Rajesh Kumar

Shetty, Rajesh Kumar is an individual health care provider with primary practice located at 11512 Lake Mead Avenue Ste 534, Jacksonville FL 32256-5835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Shetty, Rajesh Kumar can be contacted via phone (904) 642-2222.

Contact Information

Primary practice address
11512 Lake Mead Avenue Ste 534 Jacksonville FL 32256-5835
Phone: (904) 642-2222
Fax: (904) 518-3297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X ME84552 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME84552 Florida

Profile Details

NPI number 1538159454
LBN Legal business name Shetty, Rajesh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2005
Last updated Apr 19th, 2018 - about 8 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 1538159454 NPPES
Florida Other P01378393 RAILROAD MEDICARE
Florida Other 28020 RAILROAD MEDICARE
Florida MEDICAID 264845800 RAILROAD MEDICARE

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