Individual
MULUGETA BANTIRGU AKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D52982
MD
207R00000X
Internal Medicine Physician
MD30665
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415599800
—
MD
01
—
S062-0497
CAREFIRST
MD
Enumeration date
05/22/2007
Last updated
05/21/2013
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