Fissha, Mulugeta Z
Fissha, Mulugeta Z is an individual health care provider with primary practice located at 910 Williston Park Pt Ste 1000 , Lake Mary FL 32746-2163. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fissha, Mulugeta Z can be contacted via phone (407) 833-8028.Contact Information
Primary practice address
910 Williston Park Pt Ste 1000
Lake Mary FL 32746-2163
Phone: (407) 833-8028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-34999 | Kansas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 04-34999 | Kansas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 04-34999 | Kansas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME131385 | Florida |
Profile Details
| NPI number | 1790827715 |
|---|---|
| LBN Legal business name | Fissha, Mulugeta Z |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Oct 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790827715 | NPPES |
| Kansas | MEDICAID | 200862580A |
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