Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHIVAPRASAD K SHETTY, M.D.
Deactivated Sole ProprietorDR. SHIVAPRASAD K SHETTY, M.D. is a Family Medicine healthcare provider located in MORENCI, Michigan. NPI 1235133190 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · MORENCI, MI
This NPI has been deactivated.
The record was deactivated on March 15, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235133190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (0.76438356164384 yrs)
- Last Updated
- Nov 3, 2023
- Deactivated
- Mar 15, 2006
- Licenses
-
35068087S (OH)4301062948 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 W MAIN STMORENCI, MI, 492561455Browse MI providers · Browse ZIP 49256
- Phone
- 5174586848
- Fax
- 5174587614
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.