Provider Demographics
NPI:1790481760
Name:PRETI, BEATRICE
Entity Type:Individual
Prefix:DR
First Name:BEATRICE
Middle Name:
Last Name:PRETI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 HEDGEROW PLACE
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:ON
Mailing Address - Zip Code:N5X 4L6
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 COMMISSIONERS RD E
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:GU
Practice Address - Zip Code:00000
Practice Address - Country:US
Practice Address - Phone:000-000-0000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ113397207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology