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Individual

DR. WORKU MENGESHA WONDAFRASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6000
Mailing address
222 MEDICAL CIR, MOREHEAD, KY 40351-1179
(606) 783-6500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101248849
VA
207R00000X
Internal Medicine Physician
44187
KY
207R00000X
Internal Medicine Physician
TP545
KY
208M00000X
Hospitalist Physician
Primary
2013-01976
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1215233002
VA
01
P01341617
RR MEDICARE
VA
Enumeration date
01/27/2011
Last updated
05/16/2022
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