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Individual
DR. HABTE DANIEL GHEBREKIDAN
Active
Individual
DR. HABTE DANIEL GHEBREKIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437433
PA
208M00000X
Hospitalist Physician
Primary
MD437433
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033820600
—
MD
05
—
102333028
—
PA
01
—
1582725
GATEWAY-WMG
PA
01
—
20091554
AMERIHEALTH MERCY-WMG
PA
01
—
2114884
HIGHMARK BLUE SHIELD
PA
01
—
277833
UNISON
PA
01
—
30131966
AMERIHEALTH MERCY - WMG
PA
01
—
953937
CAREFIRST MD BCBS-WMG
PA
Enumeration date
10/22/2007
Last updated
01/14/2025
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