Shantharam Shetty, MD Med Pro Corp,

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01031319A Issued in IN

Legal business name

SHANTHARAM SHETTY, MD MED PRO CORP,

Practice address

1964 State St Ste 206
New Albany, IN 47150-4992

Phone

(812) 949-9918

Fax

(812) 949-9918

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Shantharam H Shetty, M.D.

Title

President

Phone

(812) 949-9918

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keun Yung Yu, M.D.

  • Anesthesiology Physician
  • New Albany, IN
  • NPI 1275641474
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1871876458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 STATE ST STE 206",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504992",
            "telephone_number": "812-949-9918",
            "fax_number": "812-949-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 STATE ST STE 206",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504992",
            "telephone_number": "812-949-9918",
            "fax_number": "812-949-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTHARAM SHETTY, MD MED PRO CORP,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "SHANTHARAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-949-9918",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01031319A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100075510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Setty, BCBA
• Ashton Danette Seward-Petersmith, INTERN
• Taylor Seymour
• Tanvir B. Shah, MD
• Macy Shake, RBT
• Mackenzie Shaw
• Adria Shelley, CAA
• Shantharam H Shetty, MD
• Erin Kay Shields, MSSW LCSW
• Kathleen E. Shiner, M.D.

• Anesthesiology Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.