Anita Kanithahal Shetty in Marietta - Dermatology
Anita Kanithahal Shetty - NPI 1649477035
Anita Kanithahal Shetty is a Dermatology in Marietta, Georgia. Anita Kanithahal Shetty practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Anita Kanithahal Shetty is 1649477035. The last update date is 2018-01-30.
Anita Kanithahal Shetty's current location address is 835 Cogburn Ave Nw, Marietta, Georgia. You can contact this provider via phone number 7704225557 and fax number 7704225456. The mailing address for Anita Kanithahal Shetty is 835 Cogburn Ave Nw, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anita Kanithahal Shetty |
|---|---|
| Address | 835 Cogburn Ave Nw, Marietta, Georgia |
| Phone Number | 7704225557 |
| Fax Number | 7704225456 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1649477035 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2018-01-30 |
Provider Mailing Address Detail
| Address | 835 Cogburn Ave Nw |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300601031 |
| Phone Number | 7704225557 |
| Fax Number | 7704225456 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 68558 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68558 | GA | GEORGIA STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the Anita Kanithahal Shetty's 1649477035?
The Anita Kanithahal Shetty's NPI (National Provider Identifier) Number is 1649477035. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Anita Kanithahal Shetty is physically located?
The Anita Kanithahal Shetty is physically situated at the following address: 835 Cogburn Ave Nw, Marietta, GA, 300601031.
What is Anita Kanithahal Shetty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Anita Kanithahal Shetty is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
When was the Anita Kanithahal Shetty's 1649477035 issued?
The Anita Kanithahal Shetty's 1649477035 was issued on 2007-06-28.
When was the information related to Anita Kanithahal Shetty most recently updated or refreshed?
The details pertaining to the Anita Kanithahal Shetty, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-01-30.