Individual
SHUDHANSHU ALISHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 499-2273
Mailing address
1300 1ST AVE APT 903, NEW YORK, NY 10021-5504
(408) 529-9143
(408) 419-2656
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
301250
NY
207RC0000X
Cardiovascular Disease Physician
301250
NY
207RC0000X
Cardiovascular Disease Physician
A133760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA3232267556
OTHER
CA
Enumeration date
04/08/2013
Last updated
08/30/2024
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