- Practice location
- 133 Scovill St, Waterbury, CT 06706
- Phone
- 203-709-6871
- Fax
- —
- Last updated
- October 28, 2021
Shohan Shetty is a Surgery based in Waterbury, CT. Shohan Shetty practices in Waterbury, CT and has the professional credentials of MD. The NPI Number for Shohan Shetty is 1073772356 and holds a License No. Q0174 (TX). The current practice location address for Shohan Shetty is 133 Scovill St, Waterbury, CT 06706 and can be reached out via phone at 203-709-6871.
Provider Profile Details
- NPI Number
- 1073772356
- Provider Name
- Shohan Shetty
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 133 Scovill St, Waterbury, CT 06706
- Phone Number
- 203-709-6871
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2008
- Last Update Date
- October 28, 2021
- Certification Date
- October 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 133 Scovill St
Waterbury, CT 06706 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706
- Phone Number
- 203-709-6871
Provider Business Mailing Address Details
- Address
- 133 Scovill St Ste 303
Waterbury, CT 06706-1127 - City
- Waterbury
- State
- CT
- Zip
- 06706-1127
- Phone Number
- 203-709-6871
- Fax Number
- 203-759-1537
License Information
- License Number (1)
- Q0174
- License State (1)
- TX
- Taxonomy (1)
- Surgery · 208600000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 51450
- License State (3)
- CT
- Taxonomy (3)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Waterbury, CT
View all Surgery providers in Waterbury →Frequently Asked Questions
What is the NPI number of Shohan Shetty, MD?
The NPI number of Shohan Shetty, MD is 1073772356. It was assigned on June 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Shohan Shetty, MD?
Shohan Shetty, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in TX under license number Q0174.
Where does Shohan Shetty, MD practice?
The practice location is 133 Scovill St, Waterbury, CT 06706. The office can be reached at 203-709-6871 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073772356 directly on the NPPES registry website.