Organization
ATUL SHETTY, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL S SHETTY MD (OWNER)
(304) 723-5400
Entity
Organization
Contact information
Practice address
485 COLLIERS WAY, SUITE M, WEIRTON, WV 26062-5012
(304) 723-5400
(304) 723-5401
Mailing address
PO BOX 2154, WEIRTON, WV 26062-1354
(304) 723-5400
(304) 723-5401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19885
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207537000
—
WV
Enumeration date
06/30/2006
Last updated
06/05/2008
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