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NPI Code Detail

MEDICARE: PRITHVI SHETTY

MEDICARE: PRITHVI 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730882325
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRITHVI SHETTY
Provider Business Mailing Address
First Line : 560 CHANNELSIDE DR FL 33602
Second Line :
City : TAMPA
State : FL
Zip : 33602-5618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 560 CHANNELSIDE DR FL 33602
Second Line :
City : TAMPA
State : FL
Zip : 33602-5618
Country : US
Telephone Number : 813-396-9459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2023
Last Update Date : 03/23/2023

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Directions to “ PRITHVI SHETTY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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