Individual provider · Type 1 NPI

Ayanaw Guadie Mamo, MD

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

NPI number 1508740275 Active

Practice location

1650 Grand Concourse
Bronx, NY 10457-7679

Call (718) 960-1234 Map

Mailing address

305 Mount Eden Pkwy Apt 1
Bronx, NY 10457-7355

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 1508740275

Ayanaw Guadie Mamo, MD's National Provider Identifier is 1508740275, issued on Aug 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Aug 4, 2025.