MEDICARE: DR. MAHESH K SHETTY

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	2085R0202X	Diagnostic Radiology Physician	J9344	TX

General Provider Information

NPI Number	:	1578526323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHESH K SHETTY

Provider Business Mailing Address
First Line	:	2626 TANGLEY RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2436
Country	:	US
Telephone Number	:	713-899-3797
Fax Number	:	877-373-5490

Provider Business Practice Location Address
First Line	:	7900 FANNIN ST STE 1500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2950
Country	:	US
Telephone Number	:	713-512-7654
Fax Number	:

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	12/30/2025

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