Individual
ENDALE SISAY MENGESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 367-3014
Mailing address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(770) 265-4919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
87816
GA
208M00000X
Hospitalist Physician
Primary
87816
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
07/02/2021
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