ANIL SHETTY NPI 1215058359

NPI Information

NPI: 1215058359
Provider Name: ANIL SHETTY
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
2211 LOMAS BLVD NE
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 272-5504
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Anil Shetty is a plastic and reconstructive surgery surgery in Albuquerque, NM with 29 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Anil Shetty NPI is 1215058359. 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:

2211 LOMAS BLVD NE
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
ALBUQUERQUE, NM
ZIP 87106-719
Phone: (505) 272-5504
Fax: (505) 272-1669

The NPI 1215058359 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 3/22/2017.

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	208600000X	Surgery		4301075872	MICHIGAN	No
2	208600000X	Surgery		A 96895	CALIFORNIA	No
3	208600000X	Surgery		MD2009-0440	NEW MEXICO	No
4	2086S0122X	Surgery	Plastic and Reconstructive Surgery	A 96895	CALIFORNIA	No
5	208200000X	Plastic Surgery		4301075872	MICHIGAN	No
6	208200000X	Plastic Surgery		A 96895	CALIFORNIA	No
7	208200000X	Plastic Surgery		MD2009-0440	NEW MEXICO	No
8	2086S0122X	Surgery	Plastic and Reconstructive Surgery	MD2009-0440	NEW MEXICO	Yes

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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