NPI Code Detail JSON Logo

1467814145 NPI number — BETHLEHEM GUDAYU ZELEKE MD

NPI Number: 1467814145
Health Care Provider/Practitioner: BETHLEHEM GUDAYU ZELEKE MD

Information about “1467814145” NPI (BETHLEHEM GUDAYU ZELEKE MD) exists in 1467814145 in HTML format HTML  |  1467814145 in plain Text format TXT  |  1467814145 in PDF (Portable Document Format) PDF  |  1467814145 in an XML format XML  formats.

NPI Number : 1467814145 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467814145",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZELEKE",
    "FirstName": "BETHLEHEM",
    "MiddleName": "GUDAYU",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1725 W HARRISON ST STE 1159",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60612-3883",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-563-7473",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5800 HOLLIS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EMERYVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94608-2016",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "510-806-2100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/22/2016",
    "LastUpdateDate": "06/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "A161329",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "A161329",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207UN0901X",
          "TaxonomyName": "Nuclear Cardiology Physician",
          "LicenseNumber": "A161329",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "036.152438",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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