MEDICARE: RAJESH A SHETTY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	M9003	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	M9003	TX
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	M9003	TX

General Provider Information

NPI Number	:	1255374641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH A SHETTY MD

Provider Business Mailing Address
First Line	:	1300 DACY LN STE 110
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-4194
Country	:	US
Telephone Number	:	512-268-8126
Fax Number	:	512-268-8121

Provider Business Practice Location Address
First Line	:	1300 DACY LN STE 110
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-4194
Country	:	US
Telephone Number	:	512-268-8126
Fax Number	:	888-984-2411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	10/14/2025

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Directions to “ RAJESH A SHETTY MD” Practice Location

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