Individual
VILAAS S. SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6031
(314) 251-6343
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004015892
MO
2085B0100X
Body Imaging Physician
2007007109
MO
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
2007007109
MO
2085N0700X
Neuroradiology Physician
2007007109
MO
2085N0700X
Neuroradiology Physician
20070071090
MO
2085P0229X
Pediatric Radiology Physician
2007007109
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2007007109
MO
2085U0001X
Diagnostic Ultrasound Physician
2008020890
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209616804
—
MO
Enumeration date
01/24/2007
Last updated
04/23/2018
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