Individual
ABRAHAM YBRAH MENGSTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-2203
(248) 849-5395
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-2203
(248) 849-5395
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4351048513
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2021
Last updated
05/23/2021
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