Organization
T-BEYENE HYPERTENSION & KIDNEY CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TADESSE BEYENE M.D. (PRESIDENT)
(773) 209-3378
Entity
Organization
Contact information
Practice address
4160 JOHN R STE 1011, HARPER PROFESSIONAL BUILDING, DETROIT, MI 48201
(313) 341-1431
Mailing address
4572 RANCH LN, BLOOMFIELD HILLS, MI 48302-2440
(773) 209-3378
(248) 595-8269
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301092774
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821239302
—
MI
Enumeration date
10/10/2016
Last updated
11/28/2016
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