Individual
BIRHANE GEBREYESUS KALEAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 474-3444
(336) 277-9183
Mailing address
PO BOX 604042, CHARLOTTE, NC 28260-4042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200400053
NC
208M00000X
Hospitalist Physician
Primary
200400053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336250265
—
NC
01
—
138RP
BCBS
NC
05
—
89011MA
—
NC
05
—
89138RP
—
NC
Enumeration date
08/31/2006
Last updated
05/07/2026
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