Shashidhar M Shettar in Jackson - Psychiatry
Shashidhar M Shettar - NPI 1417998832
Shashidhar M Shettar is a Psychiatry in Jackson, Mississippi. Shashidhar M Shettar practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Shashidhar M Shettar is 1417998832. The last update date is 2012-06-13.
Shashidhar M Shettar's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019846925 and fax number 6019845842. The mailing address for Shashidhar M Shettar is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shashidhar M Shettar |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019846925 |
Fax Number | 6019845842 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1417998832 |
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Provider Enumeration Date | 2006-06-09 |
Last Updated Date | 2012-06-13 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019846925 |
Fax Number | 6019845842 |
Provider's Primary Taxonomy Detail
Speciality | Psychiatry |
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Taxonomy | 2084P0800X |
Licence No | 16868 |
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
260045973 | MS | PALMETTO GBA-RAILROAD MED | |
122383 | MS | -- | |
P00462322 | MS | RR MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Shashidhar M Shettar by the Centers for Medicare & Medicaid Services (CMS)?
The Shashidhar M Shettar has been assigned the NPI (National Provider Identifier) 1417998832. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shashidhar M Shettar?
The Shashidhar M Shettar is physically situated at 2500 N State St, in the city of Jackson, state of MS, with the postal code 392164500.
What is Shashidhar M Shettar's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shashidhar M Shettar is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417998832 to Shashidhar M Shettar?
The Centers for Medicare & Medicaid Services originally issued the 1417998832 to Shashidhar M Shettar on 2006-06-09.
As of what date was the information pertaining to Shashidhar M Shettar, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shashidhar M Shettar, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-13.
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