| Maina R Shetty Md Inc | |
|
27206 Calaroga Ave 203 Hayward CA 94545 | |
| (510) 782-7111 | |
| (510) 782-7649 |
| Full Name | Maina R Shetty Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 27206 Calaroga Ave, Hayward, California |
| Authorized Official Name and Position | Maina Ravi Shetty (PRESIDENT) |
| Authorized Official Contact | 5107827111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maina R Shetty Md Inc 27206 Calaroga Ave 203 Hayward CA 94545 Ph: (510) 782-7111 | Maina R Shetty Md Inc 27206 Calaroga Ave 203 Hayward CA 94545 Ph: (510) 782-7111 |
| NPI Number | 1235207945 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537201074 |
|---|---|
| Medicare Enrollment ID | O20100122000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235207945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51689 (California) | Primary |
| Provider Name | Maina R Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639183361 PECOS PAC ID: 1254392509 Enrollment ID: I20041020001224 |
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