Individual
MS. METTASSEBIA KANNO
Active
Individual
MS. METTASSEBIA KANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237156
MA
207RI0200X
Infectious Disease Physician
Primary
D58251
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043264492
—
DE
05
—
395000000
—
MD
01
—
617124-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/20/2006
Last updated
01/20/2022
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