Mihretu, Taffere Negat
Mihretu, Taffere Negat is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mihretu, Taffere Negat can be contacted via phone (770) 533-6645.Contact Information
Primary practice address
743 Spring St Ne
Gainesville GA 30501-3715
Phone: (770) 533-6645
Fax: (770) 535-2642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 061295 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 61295 | Georgia |
Profile Details
| NPI number | 1952588527 |
|---|---|
| LBN Legal business name | Mihretu, Taffere Negat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2008 |
| Last updated | Jan 21st, 2009 - about 15 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 | 1952588527 | NPPES |
| Georgia | Other | 01228735 | AMERIGROUP |
| Georgia | Other | 9940207 | AMERIGROUP |
| Georgia | MEDICAID | 257247600A | AMERIGROUP |
| Georgia | Other | 110029C049457 | AMERIGROUP |
| Georgia | Other | 2091719 | AMERIGROUP |
| Georgia | Other | 459354 | AMERIGROUP |
| Georgia | Other | 52233997 | AMERIGROUP |
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