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NPI Code Detail

MEDICARE: BETTINA LI BELLES M.D.

MEDICARE: BETTINA LI BELLES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician0101233244VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1276967OTHERVABC-DRI
279065T5OTHERVANC MCD-DRI
3180733OTHERVABC-DDIC

General Provider Information

NPI Number : 1174593248
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTINA LI BELLES M.D.
Provider Business Mailing Address
First Line : 125 EXECUTIVE DR
Second Line : SUITE L
City : DANVILLE
State : VA
Zip : 24541-4155
Country : US
Telephone Number : 434-799-4200
Fax Number : 434-792-3925
Provider Business Practice Location Address
First Line : 142 S MAIN ST
Second Line :
City : DANVILLE
State : VA
Zip : 24541-2922
Country : US
Telephone Number : 434-799-4200
Fax Number : 434-792-3925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 07/09/2007

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