Yimam, Kidist Kidane
Yimam, Kidist Kidane is an individual health care provider with primary practice located at 1100 Van Ness Ave , San Francisco CA 94109-6978. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is her primary health care specialty. Yimam, Kidist Kidane can be contacted via phone (415) 600-1020.Contact Information
Primary practice address
1100 Van Ness Ave
San Francisco CA 94109-6978
Phone: (415) 600-1020
Fax: (415) 922-1594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | A103412 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A103412 | California |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | A103412 | California |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | A103412 | California |
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 906368 | California |
Profile Details
| NPI number | 1639321839 |
|---|---|
| LBN Legal business name | Yimam, Kidist Kidane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Nov 16th, 2020 - about 4 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 | 1639321839 | NPPES |
| California | Other | A103412 | STATE MEDICAL LICENSE |
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