Individual
MR. NEGASH AYELE
Active
Individual
MR. NEGASH AYELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101229247
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010222354
—
VA
01
—
184633
ANTHEM BCBS
VA
01
—
254188
KAISER PERMANENTE
VA
01
—
496675
MDIPA OPTIMUM CHOICE
VA
Enumeration date
06/01/2006
Last updated
01/24/2022
Update your record
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