Individual
BELAYNEH ABATE ABEJIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 N WAYTE LN # 2300, FRESNO, CA 93701-2124
(866) 342-6012
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A100095
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
A100095
CA
2083X0100X
Occupational Medicine Physician
Primary
A100095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00814408
RAILROAD MEDICARE
CA
Enumeration date
04/02/2007
Last updated
01/27/2021
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