Doctor Name: | ENGIDA B ALEMU |
NPI Number: | 1710916705 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 37473 |
Business Practice Address: | 2281 W 24th St Suite 11 Yuma, AZ - 85364 |
Business Phone Number: | 9283143201 |
Business Fax Number: | 9283143202 |
Mailing Address: | 2281 W 24th St, Suite 11 YUMA |
State: | AZ |
Postal Code: | 85364 |
Phone Number: | 9283143201 |
Fax Number: | 9283143202 |
NPI Enumeration Date: | 07/02/2006 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 37473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |