Individual
NAHOM EYASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-7289
Mailing address
1725 SPRING HILL AVE, MOBILE, AL 36604-1402
(251) 435-7289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43601
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
10/12/2021
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