Individual
IMPANA SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
737 W LOMBARD ST, BALTIMORE, MD 21201-1009
(410) 328-3335
Mailing address
737 W LOMBARD ST, BALTIMORE, MD 21201-1009
(410) 328-3335
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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