Individual
ASTER DERAR GHEBREMEDHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6324 FAIRVIEW RD STE 350, SUITE 350, CHARLOTTE, NC 28210-4171
(704) 384-8600
(704) 384-8610
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8600
(704) 384-8610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9300124
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8935228
—
NC
05
—
N00124
—
SC
Enumeration date
04/03/2006
Last updated
06/15/2023
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