Shivan Shetty, DO

Internal Medicine Physician · Kirkwood, MO

Individual Active NPI

NPI number 1508446196

Practice location

1001 S Kirkwood Rd Ste 300
Kirkwood, MO 63122-7250
Phone
(314) 525-4225

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NPI record

NPI
1508446196
Entity type
Individual (Type 1)
Enumeration date
April 9, 2021
Last updated
August 14, 2024
Certified
August 14, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 2024002469 MO

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone
(314) 525-4225
Fax
(314) 525-4229

About Dr. Shetty

Shivan Shetty, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 1001 S Kirkwood Rd Ste 300, Kirkwood, MO 63122-7250. The NPI number 1508446196 was assigned on April 9, 2021 and the record was last updated on August 14, 2024.

Dr. Shetty lists a license in the registry: #2024002469 (MO) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shivan Shetty, DO?

The NPI number is 1508446196.

What is the phone number of Dr. Shetty?

The phone number listed for the practice location is (314) 525-4225.

Where is Dr. Shetty located?

1001 S Kirkwood Rd Ste 300, Kirkwood, MO 63122-7250.

What is the taxonomy code for Dr. Shetty?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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