Shetty, Anita Kanithahalli
Shetty, Anita Kanithahalli is an individual health care provider with primary practice located at 835 Cogburn Ave Nw Suite 100, Marietta GA 30060-1031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shetty, Anita Kanithahalli can be contacted via phone (770) 422-5557.Contact Information
Primary practice address
835 Cogburn Ave Nw Suite 100
Marietta GA 30060-1031
Phone: (770) 422-5557
Fax: (770) 422-5456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 068558 | Georgia |
Profile Details
| NPI number | 1649477035 |
|---|---|
| LBN Legal business name | Shetty, Anita Kanithahalli |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Jan 30th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649477035 | NPPES |
| Georgia | Other | 068558 | GEORGIA STATE MEDICAL LICENSE |
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