Individual provider · Type 1 NPI
Anil Shetty
Plastic and Reconstructive Surgery Physician · Albuquerque, NM
NPI number
1215058359
Active
Practice location
2211 Lomas Blvd NE, University Of New Mexico Health Sciences Center
Albuquerque, NM 87106-2719
Fax (505) 272-1669
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | 4301075872 (MI) |
| Plastic Surgery Physician | 208200000X | A 96895 (CA) |
| Plastic Surgery Physician | 208200000X | MD2009-0440 (NM) |
| Surgery Physician | 208600000X | 4301075872 (MI) |
| Surgery Physician | 208600000X | A 96895 (CA) |
| Surgery Physician | 208600000X | MD2009-0440 (NM) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A 96895 (CA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | MD2009-0440 (NM) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1215058359
Anil Shetty's National Provider Identifier is 1215058359, issued on Apr 3, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 23, 2024.