Theodros Mengesha in Huntsville - Specialist

Theodros Mengesha - NPI 1184771909

Theodros Mengesha is a Specialist in Huntsville, Alabama. Theodros Mengesha practices all healthcare services and medical treatments related to Specialist. The NPI Number for Theodros Mengesha is 1184771909. The last update date is 2020-01-17.

Theodros Mengesha's current location address is 201 Sivley Rd Sw Ste 540, Huntsville, Alabama. You can contact this provider via phone number 2562650400 and fax number 2562650407. The mailing address for Theodros Mengesha is 201 Sivley Rd Sw Ste 540, Huntsville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodros Mengesha
Address 201 Sivley Rd Sw Ste 540, Huntsville, Alabama
Phone Number 2562650400
Fax Number 2562650407
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1184771909
Provider Enumeration Date 2007-01-04
Last Updated Date 2020-01-17

Provider Mailing Address Detail

Address 201 Sivley Rd Sw Ste 540
City Huntsville
State Alabama (AL)
Post Code 358015138
Phone Number 2562650400
Fax Number 2562650407

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 28347
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Theodros Mengesha

What is the Theodros Mengesha's unique identification number?

The Theodros Mengesha has been assigned the NPI (National Provider Identifier) Number 1184771909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Theodros Mengesha's facilities are situated?

The facilities of Theodros Mengesha are physically located at the following address: 201 Sivley Rd Sw Ste 540, Huntsville, AL, 358015138.

What is Theodros Mengesha's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Theodros Mengesha is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1184771909 to Theodros Mengesha?

The Theodros Mengesha received its 1184771909 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.

As of what date were the details related to Theodros Mengesha most recently updated or revised?

The information pertaining to Theodros Mengesha, including its address, specialty, and other relevant details, was last updated or revised on 2020-01-17.

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