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NEGGA R. WOLDERUFAEL PA NPI 1922289743


NPI Information

NPI: 1922289743
Provider Name: NEGGA R. WOLDERUFAEL, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1411 E 31ST ST
OAKLAND, CA
ZIP 94602
Phone: (510) 437-4323
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Negga R. Wolderufael, PA is a surgical physician assistant in Oakland, CA. Negga R. Wolderufael, PA NPI is 1922289743. 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:

1411 E 31ST ST
OAKLAND, CA
ZIP 94602-018
Phone: (510) 437-4323
Fax: (510) 437-5042

The enumeration date for this NPI number is 11/20/2007 and was last updated on 11/20/2007.


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
1363AS0400XPhysician AssistantSurgicalPA12029CALIFORNIAYes

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
10PA120290MEDICARE PINCALIFORNIA

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: 11/14/2023

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