Individual
MISS ANISHA RAM SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 859-6700
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-122880
IL
208000000X
Pediatrics Physician
791707125
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122880
—
IL
Enumeration date
02/26/2008
Last updated
11/18/2021
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