Individual provider · Type 1 NPI

Shiva Teja Morisetty, MD

Student in an Organized Health Care Education/Training Program · Plantation, FL

NPI number 1114728359 Active

Practice location

8201 W. Broward Blvd.
Plantation, FL 33324

Call (561) 267-3701 Map

Mailing address

8201 W Broward Blvd
Plantation, FL 33324-2701

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114728359

Shiva Teja Morisetty, MD's National Provider Identifier is 1114728359, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plantation, FL. The record was last updated on Mar 24, 2025.