| Atul Shetty, Md Llc | |
|
485 Colliers Way Suite M Weirton WV 26062-5012 | |
| (304) 723-5400 | |
| (304) 723-5401 |
| Full Name | Atul Shetty, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 485 Colliers Way, Weirton, West Virginia |
| Authorized Official Name and Position | Atul S Shetty (OWNER) |
| Authorized Official Contact | 3047235400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atul Shetty, Md Llc Po Box 2154 Weirton WV 26062-1354 Ph: (304) 723-5400 | Atul Shetty, Md Llc 485 Colliers Way Suite M Weirton WV 26062-5012 Ph: (304) 723-5400 |
| NPI Number | 1730117326 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730117326 | NPI | - | NPPES |
| 0207537000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19885 (West Virginia) | Primary |
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