Individual
ABRHAM TEKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5740 WINDMILL WAY, SUITE # 5, CARMICHAEL, CA 95608-1379
(916) 480-0506
(916) 480-0609
Mailing address
5740 WINDMILL WAY, SUITE # 5, CARMICHAEL, CA 95608-1379
(916) 480-0506
(916) 480-0609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A50974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A509740
—
CA
Enumeration date
09/28/2006
Last updated
08/20/2007
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