Individual
DR. AMSALU MOGES BIZUNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-5416
(704) 384-5992
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5311
(704) 671-5308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-01183
NC
208M00000X
Hospitalist Physician
Primary
2006-01183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905497
—
NC
05
—
N01183
—
SC
01
—
P00375657
RAILROAD MEDICARE
NC
Enumeration date
07/28/2006
Last updated
12/20/2023
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