Individual provider · Type 1 NPI

Fitsumberhan Girma Medhane

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

NPI number 1740643154 Active

Practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Call (718) 918-5640 Map

Fax (718) 918-3174

Mailing address

4921 Seminary Rd Apt 712
Alexandria, VA 22311-1851

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 1740643154

Fitsumberhan Girma Medhane's National Provider Identifier is 1740643154, issued on Apr 2, 2016. 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 Apr 2, 2016.