Provider Demographics
NPI:1659449643
Name:SHITTA BEY, YETUNDE ARINOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:YETUNDE
Middle Name:ARINOLA
Last Name:SHITTA BEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
Mailing Address - Street 2:2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:KAISER PERMANENTE SILVER SPRING MEDICAL CENTER
Practice Address - Street 2:12201 PLUM ORCHARD DRIVE,
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904
Practice Address - Country:US
Practice Address - Phone:301-572-1000
Practice Address - Fax:301-572-3398
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055830207R00000X
MDD0048153207R00000X
DCMD21929207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
010188M92Medicare ID - Type Unspecified
G24085Medicare UPIN