Provider Demographics
NPI:1649491200
Name:DELFYETT, WILLIAM THROM (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:THROM
Last Name:DELFYETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15204 SPRING MEADOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:919-969-1109
Mailing Address - Fax:
Practice Address - Street 1:UPMC DEPARTMENT OF RADIOLOGY
Practice Address - Street 2:200 LOTHROP STREET
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-647-3510
Practice Address - Fax:412-802-8221
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4312482085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA113415G89Medicare PIN