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Individual
BERHANE GEBREHANNES SOLOMON
Active
Individual
BERHANE GEBREHANNES SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011019882
MO
207R00000X
Internal Medicine Physician
9407056
KS
208M00000X
Hospitalist Physician
Primary
2011019882
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104088947
TRICARE
MO
05
—
1104088947
—
MO
05
—
200743090A
—
KS
01
—
46273011
BCBSKC
MO
01
—
P00991402
RR MEDICARE
MO
Enumeration date
07/01/2008
Last updated
12/27/2016
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