Bethel Adefres, MD
Student in an Organized Health Care Education/Training Program in Porterville, CA. Individual provider (NPI-1).
NPI number1376112607
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1376112607
- Entity type
- Individual (NPI-1)
- Name
- Bethel Adefres
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2021
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2085R0203X | Radiology, Therapeutic Radiology | 80946 | CT |
Practice location
465 W Putnam AvePorterville, CA 93257-3320
Phone 559-784-1110
Mailing address
20 York StNew Haven, CT 06510-3220
Phone 203-200-2000
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