| Dr Shetty PLLC | |
|
7200 Cathedral Rock Ste#180 Las Vegas NV 89128-0466 | |
| (725) 877-9945 | |
| Not Available |
| Full Name | Dr Shetty PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7200 Cathedral Rock, Las Vegas, Nevada |
| Authorized Official Name and Position | Kartika Shetty (PRESIDENT) |
| Authorized Official Contact | 7028247687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shetty PLLC 7200 Cathedral Rock Dr Ste# 180 Las Vegas NV 89128-0466 Ph: (725) 877-9945 | Dr Shetty PLLC 7200 Cathedral Rock Ste#180 Las Vegas NV 89128-0466 Ph: (725) 877-9945 |
| NPI Number | 1336636521 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 6204361330 |
|---|---|
| Medicare Enrollment ID | O20241126000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336636521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Kartika S Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467642272 PECOS PAC ID: 6901098870 Enrollment ID: I20101011000459 |
| Provider Name | Kristin Marie Tracy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770984064 PECOS PAC ID: 9335454693 Enrollment ID: I20150814013759 |
| Provider Name | Andy He |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124605175 PECOS PAC ID: 3971905118 Enrollment ID: I20240806000733 |
| Provider Name | Kathryn Piamonte Briones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487527362 PECOS PAC ID: 8921594458 Enrollment ID: I20260105001122 |
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