SHUBHA P SHETTY MD PA NPI 1245682384

NPI Information

NPI: 1245682384
Provider Name: SHUBHA P SHETTY MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4502 RIVERSTONE BLVD
SUITE 1003
MISSOURI CITY, TX
ZIP 77459
Phone: (972) 904-7683
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SHUBHA P SHETTY MD PA is a family medicine in Missouri City, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHUBHA P SHETTY MD PA NPI is 1245682384. The provider is registered as an organization entity type.

The provider's business location address is:

4502 RIVERSTONE BLVD
SUITE 1003
MISSOURI CITY, TX
ZIP 77459-204
Phone: (972) 904-7683

The provider's authorized official is Shubha Premnath Shetty .
The authorized official title is Md and has the following contact phone number (972) 904-7683.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 8/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	N4096	TEXAS	No
2	207Q00000X	Family Medicine		N4096	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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