Individual
BALU B SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8775 NORWIN AVE, SUITE 113, N HUNTINGDON, PA 15642-2718
(724) 864-0503
(724) 864-0535
Mailing address
585 RUGH ST, GREENSBURG, PA 15601-5667
(724) 838-1534
(724) 838-1536
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD039618L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001171343001
—
PA
01
—
469329
BS
PA
Enumeration date
09/16/2005
Last updated
10/27/2011
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