Maina R Shetty MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51689 Issued in CA

Legal business name

MAINA R SHETTY MD INC

Practice address

27206 Calaroga Ave
203
Hayward, CA 94545

Phone

(510) 782-7111

Fax

(510) 782-7649

NPI assigned

Dec 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maina Ravi Shetty, MD

Title

President

Phone

(510) 782-7111

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235207945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "address_2": "203",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-782-7111",
            "fax_number": "510-782-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "address_2": "203",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-782-7111",
            "fax_number": "510-782-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINA R SHETTY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "MAINA",
        "authorized_official_middle_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-782-7111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.