Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FAUSTA DITAH
ActiveDR. FAUSTA DITAH is a Gastroenterology healthcare provider located in CLARKSVILLE, Tennessee. NPI 1063675692 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1063675692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2008 (18.147532576205 yrs)
- Last Updated
- May 15, 2022
- License
-
MD50497 (TN)
Practice Information
- Address
-
647 DUNLOP LN STE 210CLARKSVILLE, TN, 370405165Browse TN providers · Browse ZIP 37040
- Phone
- 9315023810
- Fax
- 9315023815
- Primary Specialty
-
Gastroenterology
207RG0100X
Other Gastroenterology Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MR. CRAIG A ENNIS | MD | 1295742120 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.