MEDICARE: MR. YONAS ZEGEYE MD

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	207T00000X	Neurological Surgery Physician	ME88243	FL
2	2086S0102X	Surgical Critical Care Physician	ME88243	FL
3	2086S0127X	Trauma Surgery Physician	ME88243	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255494704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YONAS ZEGEYE MD

Provider Business Mailing Address
First Line	:	5 HARVARD CIR
Second Line	:	SUITE 104
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1979
Country	:	US
Telephone Number	:	561-603-6652
Fax Number	:	888-563-9455

Provider Business Practice Location Address
First Line	:	5 HARVARD CIR
Second Line	:	SUITE 104
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1979
Country	:	US
Telephone Number	:	561-603-6652
Fax Number	:	888-563-9455

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	06/19/2013

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Directions to “ MR. YONAS ZEGEYE MD” Practice Location

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