Desmond J Wah Md | |
321 Mitchell Ave Batesville IN 47006-8909 | |
(307) 638-0300 | |
(307) 638-0394 |
Full Name | Desmond J Wah Md |
---|---|
Speciality | Internal Medicine |
Location | 321 Mitchell Ave, Batesville, Indiana |
Authorized Official Name and Position | Desmond Wah (PROVIDER/OWNER) |
Authorized Official Contact | 3076380300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Desmond J Wah Md Po Box 2417 Cheyenne WY 82003-2417 Ph: (307) 638-0300 | Desmond J Wah Md 321 Mitchell Ave Batesville IN 47006-8909 Ph: (307) 638-0300 |
NPI Number | 1932583762 |
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Provider Enumeration Date | 07/10/2015 |
Last Update Date | 10/19/2021 |
Medicare PECOS PAC ID | 7719293471 |
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Medicare Enrollment ID | O20180118002240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932583762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Desmond Jy Wah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366673568 PECOS PAC ID: 5496901787 Enrollment ID: I20180118002365 |
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