Individual
KANHA CHARUDUTT SHETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MM, BSC, DO
Contact information
Practice address
1516 SAN PABLO ST FL 5, LOS ANGELES, CA 90033-5313
(323) 865-3505
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19972
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S300-503-92-204-0
DRIVERS LICENSE
FL
Enumeration date
04/16/2019
Last updated
11/13/2025
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