Mamo, Dawit

Mamo, Dawit is an individual health care provider with primary practice located at 16070 Tuscola Rd Suite 101, Apple Valley CA 92307-1320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mamo, Dawit can be contacted via phone (760) 242-4000.

Contact Information

Primary practice address
16070 Tuscola Rd Suite 101 Apple Valley CA 92307-1320
Phone: (760) 242-4000
Fax: (760) 242-5250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A54482 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A54482 California

Profile Details

NPI number 1346251568
LBN Legal business name Mamo, Dawit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Oct 9th, 2008 - about 16 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 1346251568 NPPES
California MEDICAID 00A544820

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