Individual
AKLILU MERSHA DEGENE
Active
Individual
AKLILU MERSHA DEGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101238021
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010173639
—
VA
01
—
1000870001
DME PROVIDER
VA
01
—
179962
ANTHEM/BCBS
—
01
—
321619
SOUTHERN HEALTH
—
01
—
3364824
CIGNA
—
01
—
3810002958
WV MEDICAID
—
01
—
96956
OPTIMA
VA
01
—
P00234595
RAILROAD MEDICARE
VA
Enumeration date
05/30/2006
Last updated
10/06/2011
Update your record
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