Shetty, Supritha A

Shetty, Supritha A is an individual health care provider with primary practice located at 3928 Washington Rd Ste 220 , Mc Murray PA 15317-2594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shetty, Supritha A can be contacted via phone (724) 941-8877.

Contact Information

Primary practice address
3928 Washington Rd Ste 220 Mc Murray PA 15317-2594
Phone: (724) 941-8877
Fax: (724) 941-4745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20986 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD065791L Pennsylvania

Profile Details

NPI number 1164410585
LBN Legal business name Shetty, Supritha A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 6th, 2023 - about 3 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 1164410585 NPPES
Pennsylvania Other 014314 MEDICARE INDIVIDUAL
Pennsylvania Other 185138 MEDICARE INDIVIDUAL
Pennsylvania Other 229426 MEDICARE INDIVIDUAL
Pennsylvania Other 001545760 MEDICARE INDIVIDUAL
Pennsylvania MEDICAID 04400111000 MEDICARE INDIVIDUAL
Pennsylvania Other 186004 MEDICARE INDIVIDUAL
Pennsylvania Other P002253 MEDICARE INDIVIDUAL
Pennsylvania Other 1504772 MEDICARE INDIVIDUAL
Pennsylvania Other 229409 MEDICARE INDIVIDUAL
Pennsylvania Other 3378423 MEDICARE INDIVIDUAL
Pennsylvania Other 110245304 MEDICARE INDIVIDUAL
Pennsylvania MEDICAID 2147180 MEDICARE INDIVIDUAL
Pennsylvania MEDICAID 0017021060005 MEDICARE INDIVIDUAL
Pennsylvania Other 075827 MEDICARE INDIVIDUAL
Pennsylvania Other 210966 MEDICARE INDIVIDUAL
Pennsylvania Other 1414361 MEDICARE INDIVIDUAL
Pennsylvania Other 207165 MEDICARE INDIVIDUAL
Pennsylvania Other 229409 MEDICARE INDIVIDUAL
Pennsylvania Other DA9375 MEDICARE INDIVIDUAL
Pennsylvania Other 1037778 MEDICARE INDIVIDUAL

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