Individual
AMITA V. DHATRIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 N COLORADO ST STE A, KENNEWICK, WA 99336-7845
(509) 942-6020
(509) 942-6049
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(971) 358-2390
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MT185293
PA
2083X0100X
Occupational Medicine Physician
Primary
MD61190112
WA
Other
Enumeration date
05/14/2007
Last updated
10/28/2021
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