RUPA SHETTY LLC NPI 1205137817

NPI Information

NPI: 1205137817
Provider Name: RUPA SHETTY LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
237 AVENUE OF THE PALMS
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 461-6133
Get Directions

RUPA SHETTY LLC is a child and adolescent psychiatry psychiatry neurology in Myrtle Beach, SC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. RUPA SHETTY LLC NPI is 1205137817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

237 AVENUE OF THE PALMS
MYRTLE BEACH, SC
ZIP 29579-247
Phone: (843) 461-6133
Fax: (843) 234-6100

The provider's authorized official is Thomas L Ryba .
The authorized official title is Member and has the following contact phone number (843) 461-6133.

The enumeration date for this NPI number is 11/12/2010 and was last updated on 8/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	27604	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3344	OTHER	SOUTH CAROLINA	WACCAMAW CENTER FOR MENTAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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