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DAYANANDA MULUR SHETTY MD NPI 1366504342


NPI Information

NPI: 1366504342
Provider Name: DAYANANDA MULUR SHETTY, MD
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Address:
9831 DEL WEBB PARKWAY
#2305
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 519-6575
Get Directions

Dayananda Mulur Shetty, MD is an otolaryngology in Jacksonville, FL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. Dayananda Mulur Shetty, MD NPI is 1366504342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9831 DEL WEBB PARKWAY
#2305
JACKSONVILLE, FL
ZIP 32256-807
Phone: (904) 519-6575
Fax: (904) 519-6575

The enumeration date for this NPI number is 12/15/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology01026607AINDIANANo
2207Y00000XOtolaryngologyME86870FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
191107713OTHERINDIANABCBS
2B28816MEDICARE UPININDIANA
3386480AMEDICARE ID-TYPE UNSPECIFIEDINDIANA
4100141560AMEDICAIDINDIANA
549504600121OTHERAMA

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

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