Individual
SAMERAWIT ASRAT ZELEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 741-1515
(765) 751-5087
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(765) 741-1515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01077868A
IN
208M00000X
Hospitalist Physician
01077868A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001073447
ANTHEM BCBS
IN
05
—
300000191
—
IN
Enumeration date
05/08/2014
Last updated
01/29/2019
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