Individual
DR. BEZA TESHOME TAYACHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-1784
Mailing address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-1784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0075820
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022123
KAISER COMMERCIAL NUMBER
CO
05
—
9000218742
—
CO
Enumeration date
08/15/2012
Last updated
08/05/2025
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