| Mengistu Yemane Md Pllc | |
|
30 Tower Cir Somerset KY 42503-3476 | |
| (606) 451-8644 | |
| (606) 451-9644 |
| Full Name | Mengistu Yemane Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Tower Cir, Somerset, Kentucky |
| Authorized Official Name and Position | Mengistu Yemane (DR/ PRESIDENT) |
| Authorized Official Contact | 6064518644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mengistu Yemane Md Pllc 30 Tower Cir Somerset KY 42503-3476 Ph: (606) 451-8644 | Mengistu Yemane Md Pllc 30 Tower Cir Somerset KY 42503-3476 Ph: (606) 451-8644 |
| NPI Number | 1275728289 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275728289 | NPI | - | NPPES |
| DH2005 | Other | KY | RR MDC |
| 64066574 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38234 (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | 4821P (Kentucky) | Secondary |
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