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Physician Compare National (NPI:1316123383)

HEALTHCARE PROVIDER: ABNET AMSALEWORK ALEMU MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1316123383
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6103087606
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120410000366
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ALEMU
Individual professional last name
Provider First Name ABNET
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 2005
Individual professional's medical school graduation year
Primary Specialty GENERAL SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2350 COUNTRY HILLS DR
Group Practice or individual's line 1 address
Line 2 Street Address A
Group Practice or individual's line 2 address
City ANTIOCH
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 945097436
Group Practice or individual's zip code (9 digits when available)
Phone Number 9257570800
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050122
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 DAMERON HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 050496
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 050283
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 STANFORD HEALTH CARE - VALLEYCARE
Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment M

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