Individual provider · NPI-1
Dr. Dereje Mekonnen Aboye, M.D.
Family Medicine · Atlanta, GA
NPI number1780857243
StatusActive
Last updated in NPPESApr 10, 2008
Details
- NPI
- 1780857243
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dereje Mekonnen Aboye
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2008
- Last updated
- Apr 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 41623 | KY | Yes |
Practice location
720 Westview Dr SwMorehouse School Of Medicine INC
Atlanta, GA 30310-1458
Phone 404-752-1875
Mailing address
720 Westview Dr SwAtlanta, GA 30310-1458
Phone 404-752-1875
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