Betty Kalianda Oetama in Houston - Anatomic Pathology & Clinical Pathology

Betty Kalianda Oetama - NPI 1720049356

Betty Kalianda Oetama is a Anatomic Pathology & Clinical Pathology in Houston, Texas. Betty Kalianda Oetama practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Betty Kalianda Oetama is 1720049356. The last update date is 2018-03-30.

Betty Kalianda Oetama's current location address is 2525 West Bellfort Street, Houston, Texas. You can contact this provider via phone number 7137416677 and fax number 7137485860. The mailing address for Betty Kalianda Oetama is 2525 West Bellfort Street, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Betty Kalianda Oetama
Address 2525 West Bellfort Street, Houston, Texas
Phone Number 7137416677
Fax Number 7137485860
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1720049356
Provider Enumeration Date 2006-03-31
Last Updated Date 2018-03-30

Provider Mailing Address Detail

Address 2525 West Bellfort Street
City Houston
State Texas (TX)
Post Code 770545024
Phone Number 7137416677
Fax Number 7137485860

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Licence No 25871
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
176504201 TX --
176504202 TX --

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FAQs about Betty Kalianda Oetama

What is the unique 10-digit identifier code assigned to Betty Kalianda Oetama by the Centers for Medicare & Medicaid Services?

The Betty Kalianda Oetama has been issued the NPI (National Provider Identifier) 1720049356 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Betty Kalianda Oetama's facilities are situated?

The facilities of Betty Kalianda Oetama are physically located at the following address: 2525 West Bellfort Street, Houston, TX, 770545024.

What is Betty Kalianda Oetama's area of expertise and its corresponding taxonomy classification?

The Betty Kalianda Oetama's field of specialization is Anatomic Pathology & Clinical Pathology, and it falls under the taxonomy code 207Zp0102X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1720049356 to Betty Kalianda Oetama?

The Centers for Medicare & Medicaid Services assigned the 1720049356 to Betty Kalianda Oetama on 2006-03-31.

When was the information pertaining to Betty Kalianda Oetama most recently updated or revised?

The details related to Betty Kalianda Oetama, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-30.

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