Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD042502 | DC |
NPI | 1003106782 |
---|---|
Provider Name | Elshadey Yayehyerade Bekele |
First Address | Oakland, CA 94619-1433 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2011 |
Last Update Date | 24/07/2014 |