Individual
SATHEESH KUMAR SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3048 SW 89TH ST, STE- A, OKLAHOMA CITY, OK 73159-6385
(405) 834-4274
(405) 748-4694
Mailing address
PO BOX 21891, OKLAHOMA CITY, OK 73156-1891
(405) 834-4274
(405) 748-4694
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18820
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183140A
—
OK
01
—
175507600
DEPT OF LABOR
OK
01
—
5043442
AETNA
OK
Enumeration date
10/07/2005
Last updated
04/30/2014
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