Individual
DR. RANJITH M SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5307 MAIN ST, SUITE # 201, NEW PORT RICHEY, FL 34652-2536
(727) 841-8876
(727) 843-8508
Mailing address
5307 MAIN ST, SUITE # 201, NEW PORT RICHEY, FL 34652-2536
(727) 841-8876
(727) 843-8508
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME0053719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030001113
R.R.MEDICARE
FL
05
—
063584700
—
FL
01
—
0818171
AETNA
FL
01
—
212464001
CIGNA
FL
01
—
AVMED
218996
FL
01
—
BC/BS
10133
FL
01
—
GHI
0099193
FL
Enumeration date
08/21/2006
Last updated
12/11/2012
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