Individual provider · Type 1 NPI

Engidawork Gashaw Tadele, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1295572675 Active

Practice location

1 Brookdale Plz
Brooklyn, NY 11212-3139

Call (718) 613-4000 Map

Fax (888) 419-2656

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 1295572675

Engidawork Gashaw Tadele, MD's National Provider Identifier is 1295572675, issued on Jul 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 11, 2024.