Shetty, Ajay

Shetty, Ajay is an individual health care provider with primary practice located at 1800 Mulberry St. , Scranton PA 18510-6800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Shetty, Ajay can be contacted via phone (570) 703-8231.

Contact Information

Primary practice address
1800 Mulberry St. Scranton PA 18510-6800
Phone: (570) 703-8231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD059970L Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD059970L Pennsylvania

Profile Details

NPI number 1053498170
LBN Legal business name Shetty, Ajay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053498170 NPPES
Pennsylvania MEDICAID 0017169700003

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