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Shewit K Weldetensae, MD
Cardiovascular Disease Physician in Modesto, California
NPI 1972550150

Shewit K Weldetensae is a Cardiovascular Disease Physician based in Modesto, CA and is specialized in Cardiovascular Disease. Shewit K Weldetensae practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Shewit K Weldetensae is 1972550150 and holds a License No. A88881 (California).

The current practice location address for Shewit K Weldetensae is 1540 Florida Ave 100, Modesto, CA and can be reached out via phone at 209-577-5557 and via fax at 209-579-7246.

Location: 1540 Florida Ave 100, Modesto, CA, 95350-4430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972550150
Provider Name
Shewit K Weldetensae
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1540 Florida Ave 100, Modesto, CA, 95350-4430
Phone Number
209-577-5557
Fax Number
209-579-7246
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ76734Z 05 CA
institution
Provider Business Practice Location Address Details
Address
1540 Florida Ave 100
City
Modesto
State
California
Zip
95350-4430
Phone Number
209-577-5557
Fax Number
209-579-7246
person
Provider Business Mailing Address Details
Address
1540 Florida Ave 100
City
Modesto
State
California
Zip
95350-4430
Phone Number
209-577-5557
Fax Number
209-579-7246
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
A88881 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
A88881 (California)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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