DoctorLicensePro

Dr. Fausta Ditah

Gastroenterology

NPI: 1063675692 Tennessee
73/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice12/15

18 years

Data Freshness6/10

Updated 1508 days ago

License Status

PennsylvaniaActive - compact
License #

MD495288

FloridaActive
License #

181191

Issued

Apr 27, 2026

Expires

Jan 31, 2028

Practice Information

Address
647 DUNLOP LN STE 210
CLARKSVILLE, TN 37040
Phone
(931) 502-3810
In Practice Since
July 3, 2008
Data Last Updated
May 15, 2022

NPI Details

NPI Number
1063675692
Status
Active
Taxonomy Code
207RG0100X
Data sourced from CMS NPPES public database. Last verified: May 15, 2022. Report an error