Individual
DR. DEGESEW ANDUALEM BEZZA
Active
Individual
DR. DEGESEW ANDUALEM BEZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01071042A
IN
208M00000X
Hospitalist Physician
01071042A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000766991
ANTHEM BCBS
IN
05
—
201067970
—
IN
01
—
P01120499
RAILROAD MEDICARE
IN
Enumeration date
09/13/2010
Last updated
03/14/2024
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