Individual provider · Type 1 NPI

Mikias Berhanu Negussie, MD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1265372403 Active

Practice location

1329 Grove St
San Francisco, CA 94117-1481

Call (720) 862-5194 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265372403

Mikias Berhanu Negussie, MD's National Provider Identifier is 1265372403, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Mar 30, 2026.