Individual
AREGASH THEODROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
11519 CHANSONETTE CT, CHARLOTTE, NC 28213-4221
(704) 763-1861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
319906
NC
363A00000X
Physician Assistant
50.008046
OH
Other
Enumeration date
02/15/2023
Last updated
10/09/2024
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