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Organization

ABRHAM TEKOLA M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABRHAM TEKOLA (M.D.)
(916) 480-0506
Entity
Organization

Contact information

Practice address
5740 WINDMILL WAY, SUITE # 5, CARMICHAEL, CA 95608-1379
(916) 480-0506
(916) 480-0609
Mailing address
5740 WINDMILL WAY, SUITE # 5, CARMICHAEL, CA 95608-1379
(916) 480-0506
(916) 480-0609

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
332952
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A509740
CA
Enumeration date
08/20/2007
Last updated
08/20/2007
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