Individual
DR. ERMIAS A. GEBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409
(928) 757-2101
Mailing address
12032 ARAGON SPRINGS AVE, LAS VEGAS, NV 89138-2008
(023) 010-4587
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17672
NV
207L00000X
Anesthesiology Physician
45442
AZ
207R00000X
Internal Medicine Physician
Primary
17672
NV
207R00000X
Internal Medicine Physician
35.091301
OH
207R00000X
Internal Medicine Physician
45442
AZ
390200000X
Student in an Organized Health Care Education/Training Program
LL1567
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45442
LICENSE
AZ
05
—
676098
—
AZ
01
—
LL1567
MEDICAL LICENSE
NV
Enumeration date
03/15/2007
Last updated
07/23/2024
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