Individual
EYOB AKLILU YINNESU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 452-9911
(419) 226-4315
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.098027
OH
207R00000X
Internal Medicine Physician
0101249551
VA
207R00000X
Internal Medicine Physician
35.098027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059894
—
OH
Enumeration date
12/21/2008
Last updated
07/06/2022
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