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DR AFEWORKI KIDANE LTD NPI 1366462764


NPI Information

NPI: 1366462764
Provider Name: DR AFEWORKI KIDANE LTD
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
6641 E BAYWOOD AVE
MESA, AZ
ZIP 85206
Phone: (480) 653-8400
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DR AFEWORKI KIDANE LTD is a neuromusculoskeletal medicine omm in Mesa, AZ. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. DR AFEWORKI KIDANE LTD NPI is 1366462764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6641 E BAYWOOD AVE
MESA, AZ
ZIP 85206-723
Phone: (480) 653-8400
Fax: (480) 209-1337

The provider's authorized official is Afeworki Ocbaghiorgis Kidane .
The authorized official title is President and has the following contact phone number (480) 653-8400.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 5/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM4458ARIZONAYes
2207R00000XInternal Medicine5101012760MICHIGANNo
3261Q00000XClinic/Center4458ARIZONANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13480230MEDICAIDMICHIGAN
2168550OTHERACCCS AZ

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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