Individual
DR. DONALD J. DIPETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30302
SC
207R00000X
Internal Medicine Physician
G9732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110234826
RR/MEDICARE
TX
05
—
1298481-06
—
TX
01
—
1298481-08
CSHCN
TX
05
—
303022
—
SC
01
—
8F5572
BLUE SHIELD
TX
Enumeration date
03/22/2006
Last updated
07/02/2021
Update your record
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