Madhu B Shetti, MD | |
2000 Vale Rd, Doctors Medical Center - Cancer Center, San Pablo, CA 94806-3808 | |
(313) 871-9346 | |
Not Available |
Full Name | Madhu B Shetti |
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Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 2000 Vale Rd, San Pablo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780885517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301087455 (Michigan) | Secondary |
2085R0001X | Radiology - Radiation Oncology | A114733 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Community Hospital Of The Monterey Peninsula |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225285810 PECOS PAC ID: 7214839125 Enrollment ID: O20040217001081 |
Entity Name | Epic Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780107797 PECOS PAC ID: 5890053094 Enrollment ID: O20171215002809 |
Mailing Address | Practice Location Address |
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Madhu B Shetti, MD 54 Stalybridge St, Sugar Land, TX 77479-2958 Ph: () - | Madhu B Shetti, MD 2000 Vale Rd, Doctors Medical Center - Cancer Center, San Pablo, CA 94806-3808 Ph: (313) 871-9346 |
Dr. Brenda M. Shank, MD, PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Vale Rd, Doctors Medical Center, San Pablo, CA 94806 Phone: 510-970-5667 Fax: 510-970-5743 |