Provider Demographics
NPI:1780376715
Name:SHETTY, NISHITA NITESH (MD)
Entity type:Individual
Prefix:MRS
First Name:NISHITA
Middle Name:NITESH
Last Name:SHETTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 S. STERLING ST UNC HEALTH BLUE RIDGE
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655
Mailing Address - Country:US
Mailing Address - Phone:828-580-5357
Mailing Address - Fax:828-580-6847
Practice Address - Street 1:2201 S. STERLING ST UNC HEALTH BLUE RIDGE
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655
Practice Address - Country:US
Practice Address - Phone:828-580-5357
Practice Address - Fax:828-580-6847
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program