Mahdere S Asfaw
Endocrinologist (Diabetes Doctor)
1970 Roanoke Blvd
Salem
, Virginia 24153-6404
Mahdere S Asfaw
Endocrinologist (Diabetes Doctor)
1970 Roanoke Blvd
Salem
, Virginia 24153-6404
(516) 610-3572
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Mahdere S Asfaw
- 1970 Roanoke Blvd
- Salem, VA
- Zip : 24153-6404
- Phone : (516) 610-3572
Second Address
- Mahdere S Asfaw
- 1970 Roanoke Blvd
- Salem, VA
- Zip : 24153-6404
- Phone : (516) 610-3572
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0101248342 | VA |
National Provider Identifier
| NPI | 1083797047 |
|---|---|
| Provider Name | Mahdere S Asfaw |
| First Address | Salem, VA 24153-6404 |
| Second Address | Salem, VA 24153-6404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2006 |
| Last Update Date | 10/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I64491 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.