Individual
DR. TARIKU GEBRIHIWOT WOLDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3995
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9408238
KS
207RG0100X
Gastroenterology Physician
Primary
2018040331
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790124543
N/A
KS
Enumeration date
06/14/2013
Last updated
11/21/2019
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