MEDICARE: KIRAN N SETTY DPM INC

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	213ES0103X	Foot & Ankle Surgery Podiatrist	E4739	CA

General Provider Information

NPI Number	:	1376877647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIRAN N SETTY DPM INC

Provider Business Mailing Address
First Line	:	2661 E FLORENCE AVE
Second Line	:	SUITE #B
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4793
Country	:	US
Telephone Number	:	323-583-3375
Fax Number	:

Provider Business Practice Location Address
First Line	:	2661 E FLORENCE AVE
Second Line	:	SUITE #B
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4793
Country	:	US
Telephone Number	:	323-583-3375
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIRAN N SETTY
Credential	:	DPM
Telephone Number	:	515-269-8286

Provider Enumeration Date	:	09/19/2009
Last Update Date	:	09/19/2009

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