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Individual
DR. WORKU MENGESHA WONDAFRASH
Active
Individual
DR. WORKU MENGESHA WONDAFRASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101248849
VA
207R00000X
Internal Medicine Physician
44187
KY
207R00000X
Internal Medicine Physician
TP545
KY
208M00000X
Hospitalist Physician
Primary
2013-01976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215233002
—
VA
01
—
P01341617
RR MEDICARE
VA
Enumeration date
01/27/2011
Last updated
05/16/2022
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