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NPI Code Detail

MEDICARE: RANJITH SHETTY M.D.

MEDICARE:   RANJITH  SHETTY  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
1207RI0011XInterventional Cardiology PhysicianME160107FL

Other Identifiers

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

General Provider Information

NPI Number : 1316041270
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANJITH SHETTY M.D.
Provider Business Mailing Address
First Line : 6320 N LA CHOLLA BLVD STE 300
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3552
Country : US
Telephone Number : 520-545-0953
Fax Number : 520-545-0954
Provider Business Practice Location Address
First Line : 6320 N LA CHOLLA BLVD STE 300
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3552
Country : US
Telephone Number : 520-545-0953
Fax Number : 520-545-0954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2006
Last Update Date : 08/23/2025

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Directions to “ RANJITH SHETTY M.D.” Practice Location

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