Fausta Ditah is a Gastroenterology in Clarksville, Tennessee. Fausta Ditah practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Fausta Ditah is 1063675692. The last update date is 2022-05-15.
Fausta Ditah's current location address is 647 Dunlop Ln Ste 210, Clarksville, Tennessee. You can contact this provider via phone number 9315023810 and fax number 9315023815. The mailing address for Fausta Ditah is 647 Dunlop Ln Ste 210, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fausta Ditah |
|---|---|
| Address | 647 Dunlop Ln Ste 210, Clarksville, Tennessee |
| Phone Number | 9315023810 |
| Fax Number | 9315023815 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063675692 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2022-05-15 |
Provider Mailing Address Detail
| Address | 647 Dunlop Ln Ste 210 |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370405165 |
| Phone Number | 9315023810 |
| Fax Number | 9315023815 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | MD50497 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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What is the unique identification code assigned to Fausta Ditah by the Centers for Medicare & Medicaid Services?
The Fausta Ditah has been issued the NPI (National Provider Identifier) 1063675692. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Fausta Ditah is physically located?
The Fausta Ditah is physically situated at the following address: 647 Dunlop Ln Ste 210, Clarksville, TN, 370405165.
What is Fausta Ditah's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fausta Ditah is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.
On what date did the Fausta Ditah receive the assignment of its 1063675692 from the Centers for Medicare & Medicaid Services?
The Fausta Ditah was issued its 1063675692 by the Centers for Medicare & Medicaid Services on 2008-07-03.
When was the information regarding Fausta Ditah most recently updated?
The details pertaining to the Fausta Ditah, including its address, specialty, and other relevant information, were last refreshed on 2022-05-15.
NPI Number: 1063415297
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