MEDICARE: BHARTI KEDAR SHETYE M.D.

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	23516	SC
2	207R00000X	Internal Medicine Physician	ME96556	FL
3	207RB0002X	Obesity Medicine (Internal Medicine) Physician	ME96556	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023193414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHARTI KEDAR SHETYE M.D.

Provider Business Mailing Address
First Line	:	4453 LAVENDER DR
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-3676
Country	:	US
Telephone Number	:	727-773-6186
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 WEBB RD STE 207
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-2865
Country	:	US
Telephone Number	:	727-773-6186
Fax Number	:	727-498-6418

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	06/04/2024

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Directions to “ BHARTI KEDAR SHETYE M.D.” Practice Location

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