Dr. Ajay Shetty
Pulmonary Disease Critical Care Medicine
1800 Mulberry St.
Scranton
, Pennsylvania 18510-6800
Dr. Ajay Shetty
Pulmonary Disease Critical Care Medicine
1800 Mulberry St.
Scranton
, Pennsylvania 18510-6800
(570) 271-6144
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Ajay Shetty
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Dr. Ajay Shetty
- 1800 Mulberry St.
- Scranton, PA
- Zip : 18510-6800
- Phone : (570) 703-8231
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | MD059970L | PA |
| N | 207RP1001X | Pulmonary Disease | MD059970L | PA |
National Provider Identifier
| NPI | 1053498170 |
|---|---|
| Provider Name | Dr. Ajay Shetty |
| First Address | Danville, PA 17822-4903 |
| Second Address | Scranton, PA 18510-6800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 21/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0017169700003 | (05) | PA |
| G76067 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.