Individual
ATUL SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
—
0017525380003
—
PA
05
—
2151684
—
OH
05
—
60000159000
—
WV
Enumeration date
10/07/2005
Last updated
06/05/2008
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