Lida Eatedali in Wilkes Barre - Internal Medicine
Lida Eatedali - NPI 1003838103
Lida Eatedali is a Internal Medicine in Wilkes Barre, Pennsylvania. Lida Eatedali practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lida Eatedali is 1003838103. The last update date is 2007-07-08.
Lida Eatedali's current location address is 1111 East End Blvd, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708243521. The mailing address for Lida Eatedali is 1111 East End Blvd, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lida Eatedali |
|---|---|
| Address | 1111 East End Blvd, Wilkes Barre, Pennsylvania |
| Phone Number | 5708243521 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1003838103 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1111 East End Blvd |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 18711 |
| Phone Number | 5708243521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 4301084937 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4301084937 | MI | MD LICENSE |
Post Comment/ Review Below
What is the Lida Eatedali's unique identification number?
The Lida Eatedali has been assigned the NPI (National Provider Identifier) Number 1003838103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lida Eatedali's facilities are geographically located?
The facilities of Lida Eatedali are physically situated at the following location: 1111 East End Blvd, Wilkes Barre, PA, 18711.
What is Lida Eatedali's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lida Eatedali's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did Lida Eatedali receive its 1003838103 assignment from the Centers for Medicare & Medicaid Services?
The Lida Eatedali was assigned its 1003838103 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lida Eatedali, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lida Eatedali, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.