Individual
NITI YOGESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 E. LOCUST ST., DRESDEN, TN 38225
(731) 364-3196
(731) 364-5359
Mailing address
130 E. LOCUST ST., DRESDEN, TN 38225
(731) 364-3196
(731) 364-5359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018016911
MO
363A00000X
Physician Assistant
—
MO
Other
Enumeration date
05/24/2018
Last updated
11/19/2020
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