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Individual

ASHWIN K. SHETTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4811 SNOWMOUNTAIN RD, YAKIMA, WA 98908-2848
(509) 895-7321
(509) 895-7321
Mailing address
4811 SNOWMOUNTAIN RD, YAKIMA, WA 98908-2848
(509) 895-7321
(509) 895-7321

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
221207-1
NY
207P00000X
Emergency Medicine Physician
A02285
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02176630
NY
01
1768Q1
BLUECROSS BLUESHIELD
NY
Enumeration date
03/17/2006
Last updated
12/02/2009
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