Individual provider · Type 1 NPI

Amanuel Kassa Tadesse

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1639055247 Active

Practice location

1611 NW 12 Avenue, Miami Fl 33136
Miami, FL 33136

Call (305) 355-1122 Map

Mailing address

Maraki Street Gondar
Gondar, AMAHARE 00196

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 1639055247

Amanuel Kassa Tadesse's National Provider Identifier is 1639055247, issued on Aug 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Dec 24, 2025.