Individual
DR. ADERAJEW AMSALU TADDESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
615 MICHAEL ST NE STE 205N, ATLANTA, GA 30322-6105
(617) 732-7420
(404) 712-2970
Mailing address
615 MICHAEL ST NE STE 205N, ATLANTA, GA 30322-1047
(404) 712-2970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
291746
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
83410
GA
207RP1001X
Pulmonary Disease Physician
Primary
83410
GA
Other
Enumeration date
04/06/2016
Last updated
06/09/2025
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