Individual
SAFAL SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 PROFESSIONAL PKWY STE 2020, DOUGLASVILLE, GA 30134-5632
(770) 422-1372
Mailing address
6001 PROFESSIONAL PKWY STE 2020, DOUGLASVILLE, GA 30134-5632
(770) 422-1372
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
83690
GA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
46703
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
57280
CT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
83690
GA
Other
Enumeration date
01/07/2008
Last updated
10/02/2019
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