Amita Sadashiv Shetty M.D.

NPI 1548267958 - Internal Medicine - 207R00000X

NPI Details
NPI 1548267958
Gender Female
Enumeration Date 06/30/2005
Last Updated 10/27/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
3308 MELROSE RD
FAYETTEVILLE NC, 28304-1604, US
Phone (910) 615-3200
Fax (910) 615-3201
Business Location
1638 OWEN DR
ATTN: MANAGED CARE PLANNING
FAYETTEVILLE NC, 28304-3424, US
Phone (910) 615-6949
Fax (910) 615-9761
Toxanomy
Taxonomy Code 207R00000X
License State North Carolina
License Number 009700753
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According to our database, Amita Sadashiv Shetty M.D. NPI is 1548267958, taxonomy code is 207R00000X and license number is 009700753, license state is located at North Carolina. Amita Sadashiv Shetty M.D. physically located at 3308 Melrose Rd, Fayetteville NC, 28304-1604. NPI Number Amita Sadashiv Shetty M.D. has the Individual type.

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1548267958 NPI number is provided on an as is basis without warranty of any kind. 1548267958 is maintained by the National Plan & Provider Enumeration System. The contents of Amita Sadashiv Shetty M.D. are for informational purposes only.