Individual
DR. YASHASHREE L BETHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
147 REYNOIR STREET, SUITE 101, BILOXI, MS 39530
(228) 374-2051
(228) 374-5741
Mailing address
147 REYNOIR STREET, SUITE 101, BILOXI, MS 39530
(228) 374-2051
(228) 374-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16718
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122367
—
MS
Enumeration date
04/03/2006
Last updated
12/16/2009
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