Individual
BELAYENH BEFEKADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1352 W HARRISON ST, REIDSVILLE, NC 27320-2606
(336) 342-3338
(336) 342-9762
Mailing address
1352 W HARRISON ST, REIDSVILLE, NC 27320-2606
(336) 342-3338
(336) 342-9762
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
9500507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11593
PARTNERS
NC
01
—
14370
BCBS
NC
01
—
3102113
UNITED HEALTHCARE
NC
01
—
390005414
RAILROAD MEDICARE
NC
01
—
5811953
VIRGINIA MEDICAID
VA
01
—
58355
MEDCOST
NC
05
—
8914370
—
NC
Enumeration date
07/11/2006
Last updated
07/08/2007
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