Kidane, Afeworki Ocbaghiorgis
Kidane, Afeworki Ocbaghiorgis is an individual health care provider with primary practice located at 1985 E Chandler Blvd , Chandler AZ 85225-5110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kidane, Afeworki Ocbaghiorgis can be contacted via phone (602) 755-0800.Contact Information
Primary practice address
1985 E Chandler Blvd
Chandler AZ 85225-5110
Phone: (602) 755-0800
Fax: (602) 560-2721
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 4458 | Arizona |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4458 | Arizona |
Profile Details
NPI number | 1326018557 |
---|---|
LBN Legal business name | Kidane, Afeworki Ocbaghiorgis |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Jun 10th, 2022 - about 3 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 | 1326018557 | NPPES |
Michigan | MEDICAID | 3480230 |
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