Shetty-Das, Renuka

Shetty-Das, Renuka is an individual health care provider with primary practice located at 18219 Horace Harding Expy , Fresh Meadows NY 11365-2242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shetty-Das, Renuka can be contacted via phone (718) 670-2903.

Contact Information

Primary practice address
18219 Horace Harding Expy Fresh Meadows NY 11365-2242
Phone: (718) 670-2903
Fax: (516) 437-4167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 209331 New York

Profile Details

NPI number 1659306892
LBN Legal business name Shetty-Das, Renuka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 23rd, 2022 - about 3 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 1659306892 NPPES
New York MEDICAID 01890477

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