Bethel Adefres, MD
Student in an Organized Health Care Education/Training Program in Porterville, California
1376112607- Practice location
- 465 W Putnam Ave, Porterville, CA 93257-3320
- Phone
- 559-784-1110
- Fax
- —
- Last updated
- June 9, 2023
Bethel Adefres is a Student in an Organized Health Care Education/Training Program based in Porterville, CA. Bethel Adefres practices in Porterville, CA and has the professional credentials of MD. The NPI Number for Bethel Adefres is 1376112607 and holds a License No. 80946 (CT). The current practice location address for Bethel Adefres is 465 W Putnam Ave, Porterville, CA 93257-3320 and can be reached out via phone at 559-784-1110.
Provider Profile Details
- NPI Number
- 1376112607
- Provider Name
- Bethel Adefres
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 465 W Putnam Ave, Porterville, CA 93257-3320
- Phone Number
- 559-784-1110
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 21, 2021
- Last Update Date
- June 9, 2023
- Certification Date
- June 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 465 W Putnam Ave
Porterville, CA 93257-3320 - City
- Porterville
- State
- California
- Zip
- 93257-3320
- Phone Number
- 559-784-1110
Provider Business Mailing Address Details
- Address
- 20 York St
New Haven, CT 06510-3220 - City
- New Haven
- State
- CT
- Zip
- 06510-3220
- Phone Number
- 203-200-2000
License Information
- License Number (1)
- 80946
- License State (1)
- CT
- Taxonomy (1)
- Radiology, Therapeutic Radiology · 2085R0203X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Porterville, CA
View all Student in an Organized Health Care Education/Training Program providers in Porterville →Frequently Asked Questions
What is the NPI number of Bethel Adefres, MD?
The NPI number of Bethel Adefres, MD is 1376112607. It was assigned on June 21, 2021 and is currently active in the NPPES registry.
What is the specialty of Bethel Adefres, MD?
Bethel Adefres, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CT under license number 80946.
Where does Bethel Adefres, MD practice?
The practice location is 465 W Putnam Ave, Porterville, CA 93257-3320. The office can be reached at 559-784-1110 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376112607 directly on the NPPES registry website.