Basic Information
| Provider Information | |||||||||
| NPI: | 1982098349 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SETTY-SHAH | ||||||||
| FirstName: | NITHYA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 225 NEW LANCASTER RD | ||||||||
| Address2: | |||||||||
| City: | LEOMINSTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014534958 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784663208 | ||||||||
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| Practice Location | |||||||||
| Address1: | 127 MONTGOMERY ST | ||||||||
| Address2: | |||||||||
| City: | JERSEY CITY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2014317200 | ||||||||
| FaxNumber: | 2015260474 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2015 | ||||||||
| LastUpdateDate: | 04/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 286258 | MA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 25MA10384900 | NJ | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.