Individual
DR. MANGALA J SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1737A SE 28TH LOOP, OCALA, FL 34471
(352) 622-1840
(352) 622-0157
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031-4002
(703) 914-8000
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME75986
FL
208VP0000X
Pain Medicine Physician
Primary
ME75986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254258700
—
FL
Enumeration date
07/18/2006
Last updated
01/28/2022
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