Dr. Shubha Premnath Shetty, MD
Family Medicine in Missouri City, TX. Individual provider (NPI-1).
NPI number1760645295
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1760645295
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shubha Premnath Shetty
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2008
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | N4096 | TX | Yes |
Other names
- Shubha M Rai (Former Name)
Practice location
4502 Riverstone BlvdMissouri City, TX 77459-5204
Phone 281-778-9420 · Fax 281-778-9422
Mailing address
4502 Riverstone BlvdSte 1003
Missouri City, TX 77459-5209
Phone 713-798-1835
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