Individual
LYDIA FEKADU MESSELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2315 STOCKTON BLVD # 95817, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
4860 Y ST STE 200, SACRAMENTO, CA 95817-2307
(916) 734-3764
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
183842
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
08/27/2024
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