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NPI Code Detail

MEDICARE: NAGESH SHETTY M.D.

MEDICARE: NAGESH 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
1207RC0000XCardiovascular Disease PhysicianA33495CA

General Provider Information

NPI Number : 1952466245
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAGESH SHETTY M.D.
Provider Business Mailing Address
First Line : 5995 TOPANGA CANYON BLVD
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3623
Country : US
Telephone Number : 818-888-7009
Fax Number : 818-888-7018
Provider Business Practice Location Address
First Line : 5995 TOPANGA CANYON BLVD
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-3623
Country : US
Telephone Number : 818-888-7009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 06/18/2014

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