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1689058398

NPI Code Detail

MEDICARE: DR. ADUGNAW BEKELE MD

MEDICARE: DR. ADUGNAW BEKELE MD

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
1	207R00000X	Internal Medicine Physician	96595	GA
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	96595	GA
3	208M00000X	Hospitalist Physician	96595	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689058398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADUGNAW BEKELE MD

Provider Business Mailing Address
First Line	:	PO BOX 742616
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-2616
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 JOE FRANK HARRIS PKWY SE
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30120-2129
Country	:	US
Telephone Number	:	470-490-2142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	02/03/2026

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Directions to “ DR. ADUGNAW BEKELE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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