Individual
DR. EYOB TESSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25331
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009932531
—
AL
05
—
009937154
—
AL
05
—
009979065
—
AL
05
—
009979865
—
AL
01
—
051000551
OSC - BCBS
AL
01
—
051000552
SPS - BCBS
AL
01
—
051530196
EBHS - BCBS
AL
01
—
051534180
TROY - BCBS
AL
Enumeration date
07/15/2006
Last updated
10/31/2012
Update your record
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