Mengesha, Yebabe Melak
Mengesha, Yebabe Melak is an sole proprietor health care provider with primary practice located at 19646 N 27Th Ave Suite 305, Phoenix AZ 85027-4017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Mengesha, Yebabe Melak can be contacted via phone (480) 556-0446.Contact Information
Primary practice address
19646 N 27Th Ave Suite 305
Phoenix AZ 85027-4017
Phone: (480) 556-0446
Fax: (480) 556-0447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 32769 | Arizona |
Profile Details
| NPI number | 1689687410 |
|---|---|
| LBN Legal business name | Mengesha, Yebabe Melak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Oct 30th, 2015 - about 10 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 | 1689687410 | NPPES |
| Arizona | MEDICAID | 137317 |
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