| Dithi A. Shetty Pc | |
|
4811 Snowmountain Rd Yakima WA 98908-2848 | |
| (631) 271-9151 | |
| (631) 271-9155 |
| Full Name | Dithi A. Shetty Pc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 03/23/2009 |
| Medicare PECOS PAC ID | 3072661420 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427037357 PECOS PAC ID: 0244214286 Enrollment ID: I20090423000452 |
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