Individual
ANIL SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER, ALBUQUERQUE, NM 87106-2719
(505) 272-5504
(505) 272-1669
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
4301075872
MI
208200000X
Plastic Surgery Physician
A 96895
CA
208200000X
Plastic Surgery Physician
MD2009-0440
NM
208600000X
Surgery Physician
4301075872
MI
208600000X
Surgery Physician
A 96895
CA
208600000X
Surgery Physician
MD2009-0440
NM
2086S0122X
Plastic and Reconstructive Surgery Physician
A 96895
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD2009-0440
NM
Other
Enumeration date
04/03/2007
Last updated
10/23/2024
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