Shetty, Sudhakar
Shetty, Sudhakar is an individual health care provider with primary practice located at 71 East Ave Suite V, Norwalk CT 06851-4903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Shetty, Sudhakar can be contacted via phone (203) 656-1452.Contact Information
Primary practice address
71 East Ave Suite V
Norwalk CT 06851-4903
Phone: (203) 656-1452
Fax: (203) 656-1485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 037502 | Connecticut |
Profile Details
| NPI number | 1104858026 |
|---|---|
| LBN Legal business name | Shetty, Sudhakar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jan 17th, 2013 - about 12 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 | 1104858026 | NPPES |
| Connecticut | MEDICAID | 001375022 |
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