Individual
TSEDAY EYASU SIRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 PLEASANT VALLEY RD STE 202, OWENSBORO, KY 42303
(270) 417-7500
(270) 417-7509
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101242816
VA
207RC0000X
Cardiovascular Disease Physician
51585
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100545350
—
KY
Enumeration date
09/20/2006
Last updated
07/20/2024
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