Healthcare Provider Details

I. General information

NPI: 1578137717
Provider Name (Legal Business Name): SOLOMON KEBEDE TURUNBEDU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYLOR PLZ
HOUSTON TX
77030-3498
US

IV. Provider business mailing address

215 GRANT AVE
MINEOLA NY
11501-2593
US

V. Phone/Fax

Practice location:
  • Phone: 832-824-1864
  • Fax: 832-825-0164
Mailing address:
  • Phone: 832-805-9053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: