Shetty, Rupa Ravindra
Shetty, Rupa Ravindra is an individual health care provider with primary practice located at 237 Avenue Of The Palms , Myrtle Beach SC 29579-1247. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Shetty, Rupa Ravindra can be contacted via phone (843) 461-6133.Contact Information
Primary practice address
237 Avenue Of The Palms
Myrtle Beach SC 29579-1247
Phone: (843) 461-6133
Fax: (843) 347-6907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 27604 | South Carolina |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 27604 | South Carolina |
Profile Details
| NPI number | 1962428235 |
|---|---|
| LBN Legal business name | Shetty, Rupa Ravindra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jun 2nd, 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 | 1962428235 | NPPES |
| South Carolina | MEDICAID | 1516445 |
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