Shashidhar M Shettar in Jackson - Sleep Medicine
Shashidhar M Shettar - NPI 1417998832
Shashidhar M Shettar is a Sleep Medicine in Jackson, Mississippi. Shashidhar M Shettar practices all healthcare services and medical treatments related to Sleep Medicine. 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2012-06-13 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019846925 |
| Fax Number | 6019845842 |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 2084S0012X |
| Licence No | 16868 |
|
Definition: A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorder |
|
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 Sleep Medicine, and the taxonomy code that classifies this field of practice is 2084S0012X.
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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