Sivamurthy, Shetra

Sivamurthy, Shetra is an sole proprietor health care provider with primary practice located at 8934 134Th St , Jamaica NY 11418-2819. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Sivamurthy, Shetra can be contacted via phone (718) 526-3899.

Contact Information

Primary practice address
8934 134Th St Jamaica NY 11418-2819
Fax: (718) 526-3233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 111600 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 111600 New York

Profile Details

NPI number 1750385373
LBN Legal business name Sivamurthy, Shetra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2005
Last updated Oct 7th, 2011 - about 13 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 1750385373 NPPES
New York Other 111600 NYS LICENSE NUMBER

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