Doctor Name: | DR. RANJITH M SHETTY |
NPI Number: | 1053426791 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0053719 |
Business Practice Address: | 5307 Main St Suite # 201 New Port Richey, FL - 346522536 |
Business Phone Number: | 7278418876 |
Business Fax Number: | 7278438508 |
Mailing Address: | 5307 Main St, Suite # 201 NEW PORT RICHEY |
State: | FL |
Postal Code: | 346522536 |
Phone Number: | 7278418876 |
Fax Number: | 7278438508 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | ME0053719 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |