=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417111980
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAVEEN C SETTY, MD, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2008
-----------------------------------------------------
Last Update Date | 08/08/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7900 HENNEMAN WAY SUITE 240
-----------------------------------------------------
City | MCKINNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75070-2914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-842-6960
-----------------------------------------------------
Fax | 214-975-2802
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 190 E STACY RD SUITE 306, BOX 132
-----------------------------------------------------
City | ALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75002-8734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-842-6960
-----------------------------------------------------
Fax | 214-975-2802
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DR. NAVEEN CHANDRA SETTY
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 314-363-6330
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208200000X
-----------------------------------------------------
Taxonomy Name | Plastic Surgery Physician
-----------------------------------------------------
License Number | N0450
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------