Individual
DR. PREETI A. RESHAMWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 PROSPECT PL SUITE 220, CORONADO, CA 92118-1978
(619) 522-0399
(619) 869-4027
Mailing address
PO BOX 64442, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A116653
GA
207RI0008X
Hepatology Physician
A116653
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578604583
—
DE
05
—
4131321-00
—
MD
01
—
896886-01
BC/BS
MD
01
—
S062-0309
BC/BS REGIONAL
MD
Enumeration date
02/11/2007
Last updated
09/06/2012
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