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Individual
ANDREA TEKIE
Active
Individual
ANDREA TEKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01071329A
IN
208000000X
Pediatrics Physician
Primary
036.167598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191360001
MEDICARE
IN
05
—
201110420
—
IN
Enumeration date
09/28/2009
Last updated
04/05/2024
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