Individual
DR. GREESHMA KENYA SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 MONTGOMERY ST STE 810, SAN FRANCISCO, CA 94111-2677
(844) 847-8216
(415) 520-9150
Mailing address
3112 STANFORD AVE, DALLAS, TX 75225-7701
(617) 549-4580
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
216632
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044919
MASSHEALTH
MA
01
—
AA14878
HAVARD PILGRIM
MA
01
—
J27232
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/05/2007
Last updated
12/19/2023
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