Gebreselassie, Surafel Kebede
Gebreselassie, Surafel Kebede is an individual health care provider with primary practice located at 2950 Cleveland Clinic Blvd , Weston FL 33331-3609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Gebreselassie, Surafel Kebede can be contacted via phone (954) 659-5148.Contact Information
Primary practice address
2950 Cleveland Clinic Blvd
Weston FL 33331-3609
Phone: (954) 659-5148
Fax: (954) 659-6192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35091072 | Ohio |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME122602 | Florida |
Profile Details
| NPI number | 1912170713 |
|---|---|
| LBN Legal business name | Gebreselassie, Surafel Kebede |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2008 |
| Last updated | Mar 16th, 2017 - about 8 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 | 1912170713 | NPPES |
| Ohio | MEDICAID | 2901408 |
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