Shetty, Dayananda Mulur

Shetty, Dayananda Mulur is an individual health care provider with primary practice located at 9831 Del Webb Parkway #2305, Jacksonville FL 32256-5807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shetty, Dayananda Mulur can be contacted via phone (904) 519-6575.

Contact Information

Primary practice address
9831 Del Webb Parkway #2305 Jacksonville FL 32256-5807
Phone: (904) 519-6575
Fax: (904) 519-6575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01026607A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME86870 Florida

Profile Details

NPI number 1366504342
LBN Legal business name Shetty, Dayananda Mulur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366504342 NPPES
Indiana Other 91107713 BCBS
Indiana MEDICAID 100141560A BCBS
Indiana Other 49504600121 BCBS

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