Berhanu Chane Tesfaye M.D.

NPI 1083887228 - Internal Medicine - 207R00000X

NPI Details
NPI 1083887228
Gender Male
Enumeration Date 04/09/2008
Last Updated 01/06/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
600 COFFEE RD
MODESTO CA, 95355-4201, US
Phone (209) 521-6097
Fax
Business Location
600 COFFEE RD
MODESTO CA, 95355-4201, US
Phone (209) 521-6097
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 002530
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According to our database, Berhanu Chane Tesfaye M.D. NPI is 1083887228, taxonomy code is 207R00000X and license number is 002530, license state is located at Georgia. Berhanu Chane Tesfaye M.D. physically located at 600 Coffee Rd, Modesto CA, 95355-4201. NPI Number Berhanu Chane Tesfaye M.D. has the Individual type.

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1083887228 NPI number is provided on an as is basis without warranty of any kind. 1083887228 is maintained by the National Plan & Provider Enumeration System. The contents of Berhanu Chane Tesfaye M.D. are for informational purposes only.