DR. SANJAY KADANDALE SHETTY MD NPI 1497738009

NPI Information

NPI: 1497738009
Provider Name: DR. SANJAY KADANDALE SHETTY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
55 FRUIT STREET YAW 6E
RADIOLOGICAL ASSOCIATES
BOSTON, MA
ZIP 02114
Phone: (617) 726-7717
Get Directions

DR. Sanjay Kadandale Shetty, MD is a diagnostic radiology radiology in Boston, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Sanjay Kadandale Shetty, MD NPI is 1497738009. 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:

55 FRUIT STREET YAW 6E
RADIOLOGICAL ASSOCIATES
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-7717
Fax: (617) 726-5282

The NPI 1497738009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2005 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
1	2085R0202X	Radiology	Diagnostic Radiology	210807	MASSACHUSETTS	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	468141	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
2	I30395	MEDICARE UPIN
3	A38405	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
4	J28556	OTHER	MASSACHUSETTS	BCBS MA
5	2100711	MEDICAID	MASSACHUSETTS

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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