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NPI Code Detail

MEDICARE: YORDANOS DEGU ZEWDU

MEDICARE:   YORDANOS DEGU  ZEWDU
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1174482947
Entity Type Code : Individual
Provider Name (Legal Business Name) : YORDANOS DEGU ZEWDU
Provider Business Mailing Address
First Line : 411 FAIRMOUNT AVE APT 307
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5563
Country : US
Telephone Number : 510-944-6640
Fax Number :
Provider Business Practice Location Address
First Line : 411 FAIRMOUNT AVE APT 307
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5563
Country : US
Telephone Number : 510-944-6640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ YORDANOS DEGU ZEWDU ” Practice Location

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