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Habtom Yebio Asghede

Physician Assistant in Shaker Heights, OH. Individual provider (NPI-1).

NPI number1447891791
StatusActive
Last updated in NPPESJan 24, 2020

Details

NPI
1447891791
Entity type
Individual (NPI-1)
Name
Habtom Yebio Asghede
Sex
Male
Sole proprietor
No
Enumeration date
Oct 7, 2019
Certification date
Jan 24, 2020
Last updated
Jan 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant57649CAYes

Practice location

3429 Lee Rd Apt 4
Shaker Heights, OH 44120-3630

Phone 206-313-5501

Mailing address

3334 W Caldwell Ave Apt 130
Visalia, CA 93277-8205

Phone 206-313-5501

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Other Physician Assistant providers in Shaker Heights, OH

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