Individual
SARVOTHAM SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 850-6957
(724) 830-8613
Mailing address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 850-6957
(724) 830-8613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD063217L
PA
208M00000X
Hospitalist Physician
Primary
MD063217L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000966418
HIGHMARK
PA
05
—
0016601130007
—
PA
Enumeration date
05/25/2005
Last updated
09/09/2016
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