Shetty, Sugandh D

Shetty, Sugandh D is an individual health care provider with primary practice located at 31157 Woodward Ave , Royal Oak MI 48073-0926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shetty, Sugandh D can be contacted via phone (248) 336-0123.

Contact Information

Primary practice address
31157 Woodward Ave Royal Oak MI 48073-0926
Phone: (248) 336-0123
Fax: (248) 336-3190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301058781 Michigan

Profile Details

NPI number 1871574913
LBN Legal business name Shetty, Sugandh D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871574913 NPPES
Michigan MEDICAID 4202425
Michigan MEDICAID 4973480
Michigan Other SS058781
Michigan Other 5809584
Michigan Other G84304
Michigan Other 131406
Michigan Other 3406338651
Michigan Other C7348

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