Individual
DR. YAPHET TILAHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
661 E ALTAMONTE DR STE 220, ALTAMONTE SPRINGS, FL 32701
(407) 303-5191
(407) 303-5193
Mailing address
661 E ALTAMONTE DR STE 220, ALTAMONTE SPRINGS, FL 32701-5102
(407) 303-5191
(407) 303-5193
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME120338
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN17611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N6798
HF MEDICARE
FL
Enumeration date
02/28/2013
Last updated
08/16/2021
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