DAYANANDA MULUR SHETTY


Address: 9831 Del Webb Parkway, #2305, Jacksonville, FL 32256-5807
Phone: 9045196575

DAYANANDA MULUR SHETTY (NPI# 1366504342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366504342
Entity Type Individual
Full Name DAYANANDA MULUR SHETTY
Credential MD
Practice Address 9831 Del Webb Parkway
#2305
Jacksonville
FL 32256-5807
Practice Telephone 9045196575
Practice Fax Number 9045196575
Mailing Telephone 9045196575
Mailing Fax Number 9045196575
Enumeration Date 2006-12-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology ME86870 FL Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology 01026607A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100141560A 05
AMA 49504600121 01
IN BCBS 91107713 01

Office Location

Street Address 9831 DEL WEBB PARKWAY
#2305
City JACKSONVILLE
State FL
Zip Code 32256-5807

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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437658671 Baptist Ent Specialists Inc Otolaryngology 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 2018-02-02
1740562875 Onslow Ambulatory Services, Inc. Otolaryngology 55 Office Park Dr, Jacksonville, NC 28546-7327 2011-09-14
1225317217 Joseph Fares Md Pa Otolaryngology 4306 University Blvd S, Jacksonville, FL 32216-4910 2011-08-09
1720394695 Rodolfo Enrique Manosalva Otolaryngology 554 Keily St., Jacksonville, FL 32212-5000 2010-08-29
1700060555 Iman Naseri Otolaryngology 6817 Southpoint Parkway, Suite 502, Jacksonville, FL 32216-6289 2007-12-27
1255406898 Justin Randolph Moy Otolaryngology 14546 Old Saint Augustine Rd Ste 301, Jacksonville, FL 32258-5472 2006-11-21
1427122118 Joseph Fares Otolaryngology 4306 University Blvd South, Jacksonville, FL 32216 2006-11-17
1952470874 Lawrence Albert Lisska Otolaryngology 4130 Salisbury Rd, Suite 1900, Jacksonville, FL 32216-8031 2006-11-07
1558376004 Advanced Otolaryngology Services Pa Otolaryngology 3627 University Blvd S Ste 210, Jacksonville, FL 32216-4256 2006-07-30
1417990128 William E Bolger Otolaryngology 6817 Southpoint Pkwy Ste 502, Jacksonville, FL 32216-6289 2006-06-13
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City JACKSONVILLE
Zip Code 32256

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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