Individual provider · NPI-1
Belayneh Abate Abejie, MD
Preventive Medicine, Occupational Medicine · Fresno, CA
NPI number1831210756
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1831210756
- Entity type
- Individual (NPI-1)
- Name
- Belayneh Abate Abejie
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2007
- Certification date
- Jan 27, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | A100095 | CA | Yes |
| 207R00000X | Internal Medicine | A100095 | CA | |
| 2083P0500X | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | A100095 | CA |
Practice location
290 N Wayte Ln # 2300Fresno, CA 93701-2124
Phone 866-342-6012
Mailing address
2625 E Divisadero StFresno, CA 93721-1431
Phone 559-443-2682 · Fax 559-443-2681
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