DR. WIHIB AMBAYE GEBREGEORGIS M.D. NPI 1366632713

NPI Information

NPI: 1366632713
Provider Name: DR. WIHIB AMBAYE GEBREGEORGIS, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
4160 JOHN R, SUITE 917
HARPER PROFESSIONAL BUILDING
DETROIT, MI
ZIP 48201
Phone: (313) 745-4525
Get Directions

DR. Wihib Ambaye Gebregeorgis, M.D. is a nephrology internal medicine in Detroit, MI with 21 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Wihib Ambaye Gebregeorgis, M.D. NPI is 1366632713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4160 JOHN R, SUITE 917
HARPER PROFESSIONAL BUILDING
DETROIT, MI
ZIP 48201-020
Phone: (313) 745-4525
Fax: (313) 745-0011

The NPI 1366632713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 2/19/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		4301087251	MICHIGAN	No
2	207RN0300X	Internal Medicine	Nephrology	4301087251	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11-0251457-2	OTHER	MICHIGAN	BCBSM INDIVIDUAL PIN
2	OB56031	OTHER	MICHIGAN	BCBSM IM GROUP
3	B56031106	MEDICARE PIN	MICHIGAN
4	1366632713	MEDICAID	MICHIGAN
5	0P30630871	MEDICARE PIN	MICHIGAN

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

NPI Synchronization or Removal

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