Individual
DR. TUSHAR ANIL SHETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 THOMAS JOHNSON DR, FREDERICK, MD 21702-4301
(301) 663-6171
Mailing address
8626 KINLOCH ST, DEARBORN HEIGHTS, MI 48127-1180
(248) 224-1109
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0100950
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/05/2020
Last updated
06/21/2024
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