Individual
DR. RAHUL RAMESH SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01082931A
IN
207R00000X
Internal Medicine Physician
4301109958
MI
207R00000X
Internal Medicine Physician
4351035174
MI
Other
Enumeration date
06/21/2016
Last updated
10/14/2022
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