NPI 1508446196

Shivan Shetty, DO

Practitioner Internal Medicine Physician Kirkwood, MO

Practice location

Address: 1001 S Kirkwood Rd STE 300, Kirkwood, MO 63122-7250
Phone: (314) 525-4225
Mailing address: PO Box 776084, Chicago, IL 60677-6084

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 2024002469 (MO)

Other Internal Medicine providers in Missouri →

Registry record

NPI: 1508446196
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2021
Record last updated: 14 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.