Individual
DIDI PATHAK THEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 S MAIN ST, FALL RIVER, MA 02724-2107
(508) 678-0004
(508) 678-6970
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
278505
MA
Other
Enumeration date
04/23/2014
Last updated
10/01/2020
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