Organization
RANJITH SHETTY MD PA
Active
Other names
ALLERGY ASTHMA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANJITH M SHETTY M.D. (PRESIDENT)
(727) 841-8876
Entity
Organization
Contact information
Practice address
5307 MAIN ST, SUITE # 201, NEW PORT RICHEY, FL 34652-2536
(727) 841-8876
Mailing address
5307 MAIN ST, SUITE # 201, NEW PORT RICHEY, FL 34652-2536
(727) 841-8876
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0053719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063584700
—
FL
Enumeration date
05/03/2012
Last updated
05/03/2012
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