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Individual

MR. AFEWORKI OCBAGHIORGIS KIDANE

Active
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Individual

MR. AFEWORKI OCBAGHIORGIS KIDANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
4458
AZ
207R00000X
Internal Medicine Physician
Primary
4458
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3480230
MI
Enumeration date
01/23/2006
Last updated
06/10/2022
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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