Active NPIIndividual providerSole proprietor

Dr. Vijay S Shetty, MD

Internal Medicine in Brooklyn, New York

NPI Number1770770406
Practice location
4802 10TH Ave, Brooklyn, NY 11219
Fax
—
Last updated
July 9, 2013

Vijay Shridhara Shetty is an Internal Medicine based in Brooklyn, NY. Vijay Shridhara Shetty practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Vijay Shridhara Shetty is 1770770406 and holds a License No. 60-242933 (NY). The current practice location address for Vijay Shridhara Shetty is 4802 10TH Ave, Brooklyn, NY 11219 and can be reached out via phone at 718-283-8344.

Provider Profile Details

NPI Number
1770770406
Provider Name
Vijay Shridhara Shetty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4802 10TH Ave, Brooklyn, NY 11219
Phone Number
718-283-8344
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2007
Last Update Date
July 9, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
4802 10TH Ave
Brooklyn, NY 11219
Zip
11219
Phone Number
718-283-8344
Brooklyn, NY 11219Get directions →

Provider Business Mailing Address Details

Address
20 Leparc Court
West Windsor, NJ 08550
City
West Windsor
State
NJ
Zip
08550
Phone Number
609-936-9737

License Information

License Number (1)
60-242933
License State (1)
NY
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
242933-1
License State (2)
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vijay S Shetty, MD?

The NPI number of Dr. Vijay S Shetty, MD is 1770770406. It was assigned on September 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Vijay S Shetty, MD?

Dr. Vijay S Shetty, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 60-242933.

Where does Dr. Vijay S Shetty, MD practice?

The practice location is 4802 10TH Ave, Brooklyn, NY 11219. The office can be reached at 718-283-8344 (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 1770770406 directly on the NPPES registry website.

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