Individual provider · Type 1 NPI

Abyot Dereje, MD

Student in an Organized Health Care Education/Training Program · Tupelo, MS

NPI number 1689475766 Active

Practice location

1665 S Green St
Tupelo, MS 38804-6556

Other practice locations

  • 11880 SW 40th St Ste 416, Miami, FL 33175-3575 · (786) 315-5925

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 1689475766

Abyot Dereje, MD's National Provider Identifier is 1689475766, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tupelo, MS. The record was last updated on Jun 17, 2026.