Ayenew, Woubeshet

Ayenew, Woubeshet is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ayenew, Woubeshet can be contacted via phone (612) 873-6963.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Fax: (612) 904-4644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 40373 Minnesota

Profile Details

NPI number 1790739381
LBN Legal business name Ayenew, Woubeshet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790739381 NPPES
Minnesota MEDICAID 660911200

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