| Doctor Name: | DR. DEBEBE FIKREMARIAM |
| NPI Number: | 1912104274 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 208D00000X |
| Business Practice Address: | 1 Medical Center Drive Morgantown, WV - 26506 |
| Business Phone Number: | 3045984929 |
| Business Fax Number: | 3045984930 |
| Mailing Address: | 106 Wedgewood Dr Apt 6, MORGANTOWN |
| State: | WV |
| Postal Code: | 265052474 |
| Phone Number: | 3045984929 |
| Fax Number: | 3045984930 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 208D00000X |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |