| Doctor Name: | TESFAI GEBRE AMEDAI |
| NPI Number: | 1457316960 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 6804 S 43rd Lane Laveen, AZ - 853396247 |
| Business Phone Number: | 6025182750 |
| Business Fax Number: | |
| Mailing Address: | P O Box 21045, PHOENIX |
| State: | AZ |
| Postal Code: | 850364104 |
| Phone Number: | 6025182750 |
| Fax Number: | 6022497689 |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 02/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |