Weldetensae, Shewit K
Weldetensae, Shewit K is an individual health care provider with primary practice located at 1540 Florida Ave 100 , Modesto CA 95350-4430. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Weldetensae, Shewit K can be contacted via phone (209) 577-5557.Contact Information
Primary practice address
1540 Florida Ave 100
Modesto CA 95350-4430
Phone: (209) 577-5557
Fax: (209) 579-7246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | A88881 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A88881 | California |
Profile Details
| NPI number | 1972550150 |
|---|---|
| LBN Legal business name | Weldetensae, Shewit K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jan 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972550150 | NPPES |
| California | MEDICAID | ZZZ76734Z |
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