Individual
DR. HABTE DANIEL GHEBREKIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437433
PA
208M00000X
Hospitalist Physician
Primary
MD437433
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033820600
—
MD
05
—
102333028
—
PA
01
—
1582725
GATEWAY-WMG
PA
01
—
20091554
AMERIHEALTH MERCY-WMG
PA
01
—
2114884
HIGHMARK BLUE SHIELD
PA
01
—
277833
UNISON
PA
01
—
30131966
AMERIHEALTH MERCY - WMG
PA
01
—
953937
CAREFIRST MD BCBS-WMG
PA
Enumeration date
10/22/2007
Last updated
01/14/2025
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