Individual
GIRMA A MESHESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22739
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000270624
—
OH
01
—
1073951
BRICKSTREET
WV
05
—
3810013336
—
WV
05
—
7100070330
—
KY
Enumeration date
05/10/2007
Last updated
11/17/2009
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