Individual
SHOHAN SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 SCOVILL ST, WATERBURY, CT 06706
(203) 709-6871
Mailing address
133 SCOVILL ST STE 303, WATERBURY, CT 06706-1127
(203) 709-6871
(203) 759-1537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51450
CT
208600000X
Surgery Physician
Q0174
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2008
Last updated
10/28/2021
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