Individual ProviderAnosha N/A ShetiyaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDepartment Of Pediatrics / Stop 9406 3601 4th Street, Lubbock, TX 79430(806) 743-5604PECOS EnrollmentBased on the most recent information from CMS, provider Anosha N/A Shetiya does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1962187849Provider TypeIndividualFull NameShetiya, Anosha N/AGenderFemaleSole ProprietorYesEnumeration Date6/19/2023Last Updated6/19/2023Contact InformationPractice LocationPractice AddressDepartment Of Pediatrics / Stop 9406 3601 4th Street, Lubbock, TX 79430Phone(806) 743-5604Fax(806) 743-3694Mailing LocationMailing AddressDepartment Of Pediatrics / Stop 9406 3601 4th Street, Lubbock, TX 79430Phone(806) 743-5604Fax(806) 743-3694Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerTexas