Dr. Khary Shiyth Dorsey, M.D.
Obstetrics & Gynecology in Modesto, CA. Individual provider (NPI-1).
NPI number1992017826
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1992017826
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khary Shiyth Dorsey
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2010
- Last updated
- Feb 11, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 133767 | CA | Yes |
Practice location
1400 Florida AveSuite 207
Modesto, CA 95350-4422
Phone 209-522-1027
Mailing address
1400 Florida AveSuite 207
Modesto, CA 95350-4422
Phone 209-522-1027
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