Organization
DIGESTIVE CARE CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALU SHETTY MD (PRESIDENT)
(724) 864-0503
Entity
Organization
Contact information
Practice address
8775 NORWIN AVENUE, NORTH HUNTINGDON, PA 15642-2718
(724) 864-0503
(724) 864-0535
Mailing address
585 RUGH STREET, SUITE 202, GREENSBURG, PA 15601-5667
(724) 838-1534
(724) 838-1536
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
077567
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200938995 0002
—
PA
01
—
DB3734
RR MEDICARE
—
Enumeration date
06/22/2005
Last updated
11/03/2011
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