Avinash Kunjan Shetty

MD | Pediatric Infectious Diseases | Male

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Complete Profile:

Avinash Kunjan Shetty basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Infectious Diseases
Provider Name :	Avinash Kunjan Shetty
Credential :	MD
Gender :	Male

Business Address:

Avinash Kunjan Shetty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	Medical Center Blvd Winston Salem, NC, 27157-0001 United States
Phone Number :	336-716-2255

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1669456745
NPI Entity Type :	Individual
First Enrolment Date :	02 Dec, 2005
Last Updated On :	11 Jan, 2012

Medicare Participation:

Avinash Kunjan Shetty participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4385619626
Medicare Enrollment ID :	I20040830000869
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1989
Accepts Medicare?	Yes. Avinash Kunjan Shetty accepts medicare insurance.

Group Practice Association:

Avinash Kunjan Shetty is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Avinash Kunjan Shetty is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Wake Forest University Health Sciences	4486564952	1942	Medical Ctr Blvd Winston Salem, NC - 271570001 Ph: 3367162734	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avinash Kunjan Shetty are as mentioned. Primary taxonomy code for Avinash Kunjan Shetty, MD is 2080P0208X (Pediatrics Pediatric Infectious Diseases).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0208X	Pediatrics Pediatric Infectious Diseases	Yes	200101134	NC

Legacy Identifiers:

Other legacy medical identifiers of Avinash Kunjan Shetty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
43324	Other		PARTNERS
89129WG	MEDICAID	NC
440003777	Other		RR MEDICARE
2007356000	MEDICAID	WV
7687658	Other		AETNA
B0392	Other		MEDCOST
5879639	MEDICAID	VA
129WG	Other		BCBS
Q0113F	MEDICAID	SC

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 344 Winston Salem, NC, 27102-0344 United States
Phone Number :	336-716-2255

Business Location:

Patients can refer following map for directions to Avinash Kunjan Shetty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.