Individual
DR. MENGISTU YEMANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38234
KY
207R00000X
Internal Medicine Physician
Primary
DR.0070831
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029463
KAISER COMMERCIAL NUMBER
CO
05
—
64066547
—
KY
Enumeration date
02/07/2006
Last updated
07/25/2023
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