Bizuneh, Amsalu Moges

Bizuneh, Amsalu Moges is an individual health care provider with primary practice located at 200 Hawthorne Ln , Charlotte NC 28204-2515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bizuneh, Amsalu Moges can be contacted via phone (704) 384-5416.

Contact Information

Primary practice address
200 Hawthorne Ln Charlotte NC 28204-2515
Phone: (704) 384-5416
Fax: (704) 384-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2006-01183 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2006-01183 North Carolina

Profile Details

NPI number 1780698753
LBN Legal business name Bizuneh, Amsalu Moges
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 20th, 2023 - about 2 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 1780698753 NPPES
North Carolina MEDICAID 5905497
North Carolina MEDICAID N01183
North Carolina Other P00375657

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