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NPI Code Detail

MEDICARE: ABEL KETEMA

MEDICARE: ABEL KETEMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician189422CA

General Provider Information

NPI Number : 1326780529
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABEL KETEMA
Provider Business Mailing Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 510-535-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2022
Last Update Date : 01/09/2026

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Directions to “ ABEL KETEMA ” Practice Location

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