Individual
KALKIDAN GENETE BISHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
52162
MN
207RI0011X
Interventional Cardiology Physician
Primary
52162
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P01021775
RAILROAD MEDICARE
MN
Enumeration date
08/22/2007
Last updated
06/29/2020
Update your record
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