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Individual

DR. RAMANANDA M SHETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
0N126 WINFIELD RD, WINFIELD, IL 60190-1020
(630) 690-3400
(630) 690-3418
Mailing address
15 SALT CREEK LANE, SUITE 119, HINSDALE, IL 60521-2962
(630) 734-9560
(630) 734-9565

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036050828
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036050828
IL
Enumeration date
07/13/2006
Last updated
01/11/2010
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