Individual
DR. YESHITILA GUGSA MENGESHA
Active
Individual
DR. YESHITILA GUGSA MENGESHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13182
ND
207R00000X
Internal Medicine Physician
2010-00014
NC
207RG0100X
Gastroenterology Physician
Primary
13182
ND
Other
Enumeration date
01/28/2010
Last updated
04/13/2021
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