MAHADEVAN SHETTY MD NPI 1386678290

NPI Information

NPI: 1386678290
Provider Name: MAHADEVAN SHETTY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
385 MAIN ST S,
C/O NVRA UNION SQUARE BLDG#1
SOUTHBURY, CT
ZIP 06488
Phone: (203) 264-7999
Get Directions

Mahadevan Shetty, MD is a diagnostic radiology radiology in Southbury, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Mahadevan Shetty, MD NPI is 1386678290. 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:

385 MAIN ST S,
C/O NVRA UNION SQUARE BLDG#1
SOUTHBURY, CT
ZIP 06488-240
Phone: (203) 264-7999
Fax: (203) 264-7477

The enumeration date for this NPI number is 7/10/2006 and was last updated on 5/18/2010.

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	2085N0700X	Radiology	Neuroradiology	020421	CONNECTICUT	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	020421	CONNECTICUT	No
3	2085R0202X	Radiology	Diagnostic Radiology	020421	CONNECTICUT	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	300002556	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	DIS
2	300003224	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	PDI
3	300000582	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	HIA
4	300000627	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	MRI
5	B38708	MEDICARE UPIN
6	300000499	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	NVRA
7	300003517	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	NDI
8	300001901	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	NVCI
9	300002146	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	DIA
10	001204213	MEDICAID	CONNECTICUT

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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