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Individual

ANIL SHETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

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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