Kalkidan Genete Bishu, M.D.
Internal Medicine, Interventional Cardiology in Duluth, MN. Individual provider (NPI-1).
NPI number1881887818
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1881887818
- Entity type
- Individual (NPI-1)
- Name
- Kalkidan Genete Bishu
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2007
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 52162 | MN | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 52162 | MN |
Practice location
400 E 3rd StDuluth, MN 55805-1951
Phone 218-786-8364
Mailing address
Mss 6av1-Pe400 East Third Street
Duluth, MN 55805-1951
Phone 218-786-3146 · Fax 218-722-8972
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