Individual
GIZATCHEW KETSELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2709 KILLARNEY WAY STE 2, TALLAHASSEE, FL 32309-6201
(850) 329-2872
(850) 329-2882
Mailing address
2910 KERRY FOREST PKWY # D4-369, TALLAHASSEE, FL 32309-6892
(850) 329-2872
(850) 329-2882
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
230027
NY
207RI0200X
Infectious Disease Physician
Primary
71980
GA
207RI0200X
Infectious Disease Physician
MD445869
PA
207RI0200X
Infectious Disease Physician
ME99953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001919000
—
FL
05
—
003148794A
—
GA
05
—
00A816110
—
CA
Enumeration date
01/08/2007
Last updated
03/20/2024
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