Individual
DR. UDAYA KUMAR SHETTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1745 CAMELOT DR, VIRGINIA BEACH, VA 23454-2435
(757) 481-6000
(757) 481-6311
Mailing address
3309 KLINE DR, VIRGINIA BEACH, VA 23452-6281
(757) 431-1590
(757) 481-6311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101047614
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244128
ANTHEM CLUE CROSS
VA
01
—
413533
MAMSI
VA
Enumeration date
04/03/2006
Last updated
07/08/2007
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