Individual
MAHESH JAYA SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1208 E ARQUES AVE STE 113, SUNNYVALE, CA 94085-5419
(408) 730-8082
(408) 730-0548
Mailing address
1208 E ARQUES AVE STE 113, SUNNYVALE, CA 94085-5419
(408) 730-8082
(408) 730-0548
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
129323
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
270208
NY
207RP1001X
Pulmonary Disease Physician
129323
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
129323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A129323
MEDICAL LICENSE
CA
Enumeration date
04/25/2007
Last updated
06/04/2020
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