Organization
SATHEESH K SHETTY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATHEESH K SHETTY MD (PRESIDENT/OWNER)
(405) 834-4274
Entity
Organization
Contact information
Practice address
3048 SW 89TH ST, SUITE -A, OKLAHOMA CITY, OK 73159-6385
(405) 834-4274
(405) 748-4694
Mailing address
PO BOX 21891, OKLAHOMA CITY, OK 73156-1891
(405) 834-4274
(405) 748-4694
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18820
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746630A
—
OK
01
—
495889260002
BCBS
OK
Enumeration date
09/23/2005
Last updated
04/30/2014
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