Individual
DR. YESHANEW MEKONNEN TEKLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2955 BROWNWOOD BLVD STE 107, THE VILLAGES, FL 32163-2040
(352) 765-7100
(352) 430-0210
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME153995
FL
207RX0202X
Medical Oncology Physician
Primary
ME153995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126619200
—
FL
Enumeration date
03/28/2019
Last updated
09/03/2025
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