Dithi A. Shetty Pc | |
4811 Snowmountain Rd Yakima WA 98908-2848 | |
(631) 271-9151 | |
(631) 271-9155 |
Full Name | Dithi A. Shetty Pc |
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Speciality | Internal Medicine |
Location | 4811 Snowmountain Rd, Yakima, Washington |
Authorized Official Name and Position | Dithi A Shetty (OWNER) |
Authorized Official Contact | 6312719151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dithi A. Shetty Pc 4811 Snowmountain Rd Yakima WA 98908-2848 Ph: (631) 271-9151 | Dithi A. Shetty Pc 4811 Snowmountain Rd Yakima WA 98908-2848 Ph: (631) 271-9151 |
NPI Number | 1215178108 |
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Provider Enumeration Date | 03/23/2009 |
Last Update Date | 03/23/2009 |
Medicare PECOS PAC ID | 3072661420 |
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Medicare Enrollment ID | O20090423000458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215178108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 60028019 (Washington) | Primary |
Provider Name | Dithi Shetty |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1427037357 PECOS PAC ID: 0244214286 Enrollment ID: I20090423000452 |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |