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Individual

VIGNESH SHETTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 MAIN STREET, SPRINGFIELD, MA 01107-1112
(413) 794-7031
(413) 794-7133
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
(413) 794-1629

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63353-20
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1015064
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD190317
OR

Other

Enumeration date
04/09/2013
Last updated
03/21/2023
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