Individual
NOLAWI M MENGESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4375 E IRMA LN, PHOENIX, AZ 85050-4312
(480) 890-5800
(480) 890-5920
Mailing address
4400 N 32ND ST STE 140, PHOENIX, AZ 85018-3964
(602) 254-4454
(602) 254-6036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24826
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401208
—
AZ
Enumeration date
03/14/2006
Last updated
04/29/2019
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