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Individual

HERMON H GHEBREMEDHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4832 W BROAD ST, COLUMBUS, OH 43228-1971
(614) 465-7457
Mailing address
754 TATRA CT, REYNOLDSBURG, OH 43068-4755
(614) 743-5699

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0010201
MD
363AM0700X
Medical Physician Assistant
Primary
50.008142RX
OH

Other

Enumeration date
07/20/2023
Last updated
11/18/2025
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