Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | R8773 | IA |
NPI | 1720316516 |
---|---|
Provider Name | Dr. Rajesh Sadanand Shetty |
First Address | Iowa City, IA 52246-4175 |
Second Address | Iowa City, IA 52242-1007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2009 |
Last Update Date | 07/12/2009 |