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DR. LIDA EATEDALI MD
NPI 1003838103
Internal Medicine in Wilkes Barre, PA

Active since July 25, 2006
1111 EAST END BLVD, VAMC., WILKES BARRE, PA 18711(570) 824-3521 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lida Eatedali Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LIDA EATEDALI MD (NPI 1003838103) is an individual internal medicine provider in Wilkes Barre, Pennsylvania, licensed in Michigan (4301084937) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003838103
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LIDA EATEDALICredential: MD
Location Address1111 EAST END BLVD, VAMC.Wilkes Barre, PA 18711
Mailing Address306 Indian Creek Dr, Wilkes WoodWilkes Barre, PA 18702-7826 · (570) 820-0465
Phone(570) 824-3521
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003838103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301084937
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1111 EAST END BLVD, Wilkes Barre, PA 18711
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Other Identifiers 1

Other4301084937MI · Md License

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. AHMED AMER DMD
Dentist
1111 EAST END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
MRS. PAOLA CIARAVINO MONTROSS RD LDN
Dietitian, Registered
1111 EAST END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
ATUL ODHAVJI DALSANIA M.D.
Internal Medicine
1111 EAST END BLVD, VA HOSPITAL
WILKES BARRE, PA 18711
Luzerne County (570) 403-5441
MRS. MARY BABCOCK RD LDN
Dietitian, Registered
1111 EAST END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
DAVID I ULKOSKI LCSW
Social Worker (Clinical)
1111 EAST END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521
DR. CAROL A BENEK DPM
Podiatrist
1111 EAST END BLVD, VETERANS AFFAIRS MEDICAL CENTER
WILKES-BARRE, PA 18711
Luzerne County (570) 824-3521
DR. JOSEPH RECK O.D.
Optometrist
1111 EAST END BLVD, VA MEDICAL CENTER
WILKES-BARRE, PA 18711
Luzerne County (570) 824-3521
MRS. ROSE ANNE MARGARET WINCEK RD LDN CDE
Dietitian, Registered
1111 EAST END BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 824-3521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lida Eatedali's NPI number?

The NPI number for Lida Eatedali is 1003838103. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Lida Eatedali located?

Lida Eatedali practices at 1111 East End Blvd Vamc., Wilkes Barre, PA 18711. The listed phone number is (570) 824-3521.

What is Lida Eatedali's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lida Eatedali was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.