Ghebru W Woldemichael in Yuma - Specialist
Ghebru W Woldemichael - NPI 1588729065
Ghebru W Woldemichael is a Specialist in Yuma, Arizona. Ghebru W Woldemichael practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ghebru W Woldemichael is 1588729065. The last update date is 2011-07-01.
Ghebru W Woldemichael's current location address is 2851 S Ave B, Yuma, Arizona. You can contact this provider via phone number 9283179562 and fax number 9287261588. The mailing address for Ghebru W Woldemichael is 2851 S Ave B, Yuma, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ghebru W Woldemichael |
|---|---|
| Address | 2851 S Ave B, Yuma, Arizona |
| Phone Number | 9283179562 |
| Fax Number | 9287261588 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588729065 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2011-07-01 |
Provider Mailing Address Detail
| Address | 2851 S Ave B |
|---|---|
| City | Yuma |
| State | Arizona (AZ) |
| Post Code | 853647726 |
| Phone Number | 9283179562 |
| Fax Number | 9287261588 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 31647 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4053776 | AZ | AETNA | |
| 836025 | AZ | -- | |
| AZ0735990 | AZ | BCBS |
Post Comment/ Review Below
What is the Ghebru W Woldemichael's 1588729065?
The Ghebru W Woldemichael's NPI (National Provider Identifier) Number is 1588729065. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ghebru W Woldemichael?
The Ghebru W Woldemichael is situated at 2851 S Ave B, in the city of Yuma, state of AZ, with the zip code 853647726.
What is the Ghebru W Woldemichael's area of specialization and corresponding taxonomy classification?
The Ghebru W Woldemichael's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Ghebru W Woldemichael receive the assignment of its 1588729065 from the Centers for Medicare & Medicaid Services?
The Ghebru W Woldemichael was issued its 1588729065 by the Centers for Medicare & Medicaid Services on 2006-12-26.
As of what date were the details related to Ghebru W Woldemichael most recently updated or revised?
The information pertaining to Ghebru W Woldemichael, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-01.