MEDICARE: DR. BENYAM G ALEMU M.D.

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	208M00000X	Hospitalist Physician	P6315	TX
2	261QP2300X	Primary Care Clinic/Center	P6315	TX
3	207R00000X	Internal Medicine Physician	P6315	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	340577109	OTHER	TX	CSHCN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154646560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENYAM G ALEMU M.D.

Provider Business Mailing Address
First Line	:	790 GENERATIONS DR STE 205
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-0087
Country	:	US
Telephone Number	:	830-351-5066
Fax Number	:	830-351-5460

Provider Business Practice Location Address
First Line	:	790 GENERATIONS DR STE 205
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-0087
Country	:	US
Telephone Number	:	830-351-5066
Fax Number	:	830-351-5460

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

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	03/18/2024

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Directions to “ DR. BENYAM G ALEMU M.D.” Practice Location

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