# DR. FASIKA AMBACHEW WORETA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780887216
- **Gender:** F
- **Credential:** M.D., MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 20983 | MD | — |
| 207W00000X | Ophthalmology Physician | D74786 | MD | Yes |
| 207W00000X | Ophthalmology Physician | ME109264 | FL | — |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 05/28/2019