Individual
DR. LIDA EATEDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 EAST END BLVD, VAMC., WILKES BARRE, PA 18711
(570) 824-3521
Mailing address
306 INDIAN CREEK DR, WILKES WOOD, WILKES BARRE, PA 18702-7826
(570) 820-0465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301084937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301084937
MD LICENSE
MI
Enumeration date
07/25/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us