MEDICARE: DR SHETTY PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1336636521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR SHETTY PLLC

Provider Business Mailing Address
First Line	:	7200 CATHEDRAL ROCK DR STE# 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0466
Country	:	US
Telephone Number	:	725-877-9945
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 CATHEDRAL ROCK
Second Line	:	STE#180
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0466
Country	:	US
Telephone Number	:	725-877-9945
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KARTIKA SHETTY
Credential	:	MD
Telephone Number	:	702-824-7687

Provider Enumeration Date	:	04/13/2018
Last Update Date	:	08/26/2024

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Directions to “DR SHETTY PLLC ” Practice Location

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