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Individual
SEBHATU TEWOLDE GEBREZGI
Active
Individual
SEBHATU TEWOLDE GEBREZGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
196278
NY
207R00000X
Internal Medicine Physician
Primary
196278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01545362
—
NY
Enumeration date
01/26/2007
Last updated
03/17/2012
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