Individual
DITHI A SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2200
Mailing address
110 COACHMAN PLACE WEST, SYOSSET, NY 11791
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
01089055A
IN
207RI0200X
Infectious Disease Physician
2024-01959
NC
207RI0200X
Infectious Disease Physician
2243611
NY
207RI0200X
Infectious Disease Physician
Primary
76890
AZ
207RI0200X
Infectious Disease Physician
84182
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02547097
—
NY
05
—
1427037357
—
NC
Enumeration date
01/10/2006
Last updated
10/20/2025
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