PURANCHANDER SHETTY MD NPI 1104869312

NPI Information

  • NPI: 1104869312
  • Provider Name: PURANCHANDER SHETTY, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • Address: HURLEY MEDICAL CENTER
    ONE HURLEY PLAZA, RADIOLOGY DEPT
    FLINT, MI
    ZIP 48503
  • Phone: (810) 424-4761

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NPI Details

Puranchander Shetty, MD is a vascular and interventional radiology radiology in Flint, MI. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Puranchander Shetty, MD NPI is 1104869312. 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:

HURLEY MEDICAL CENTER
ONE HURLEY PLAZA, RADIOLOGY DEPT
FLINT, MI
ZIP 48503
Phone: (810) 424-4761
Fax: (810) 424-4871

The enumeration date for this NPI number is 6/14/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional Radiology4301037112MICHIGANYes

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
1B44791MEDICARE UPINMICHIGAN

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: 11/21/2025

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