Individual
MS. SENAYET DEREJE AGONAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3001 HANOVER ST, DEPARTMENT OF MEDICINE, BALTIMORE, MD 21225-1233
(410) 350-3565
(410) 354-0186
Mailing address
2616 ERWIN RD, UNIT 2224, DURHAM, NC 27705-3843
(682) 225-0511
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
285336
NY
2085R0202X
Diagnostic Radiology Physician
Primary
285336
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2011
Last updated
10/17/2016
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