MEDICARE: MR. TEKLE AMAN

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	172A00000X	Driver		OH

General Provider Information

NPI Number	:	1962126177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TEKLE AMAN

Provider Business Mailing Address
First Line	:	2867 NICHOLAS AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-2256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2867 NICHOLAS AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-2256
Country	:	US
Telephone Number	:	614-272-1111
Fax Number	:

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

Provider Enumeration Date	:	09/30/2022
Last Update Date	:	09/30/2022

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Directions to “ MR. TEKLE AMAN ” Practice Location

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