Individual
SEGID BERHANE TEKLEHAIMANOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1438 S GRAND BLVD, SAINT LOUIS, MO 63104-1027
(636) 543-5588
Mailing address
6118 41ST AVE, HYATTSVILLE, MD 20782-3077
(240) 971-6926
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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