Telila, Tesfaye
Telila, Tesfaye is an individual health care provider with primary practice located at 1267 Highway 54 W Ste 2200 , Fayetteville GA 30214. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Telila, Tesfaye can be contacted via phone (770) 716-0051.Contact Information
Primary practice address
1267 Highway 54 W Ste 2200
Fayetteville GA 30214
Phone: (770) 716-0051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 080997 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 080997 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 080997 | Georgia |
Profile Details
| NPI number | 1699054775 |
|---|---|
| LBN Legal business name | Telila, Tesfaye |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2011 |
| Last updated | Aug 7th, 2018 - about 6 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 | 1699054775 | NPPES |
| Illinois | Other | 125060332 | STATE OF ILLINOIS |
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