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NPI Code Detail

MEDICARE: RAHEL HAILEMICHAEL WOLDEMARIAM MD

MEDICARE:   RAHEL HAILEMICHAEL WOLDEMARIAM  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
1207Q00000XFamily Medicine Physician04-43491KS
2208D00000XGeneral Practice Physician32831PR
3207Q00000XFamily Medicine Physician2003-02607NC

General Provider Information

NPI Number : 1295255289
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAHEL HAILEMICHAEL WOLDEMARIAM MD
Provider Business Mailing Address
First Line : 11300 CRESTHILL DR STE 100
Second Line :
City : MINT HILL
State : NC
Zip : 28227-7992
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11300 CRESTHILL DR STE 100
Second Line :
City : MINT HILL
State : NC
Zip : 28227-7992
Country : US
Telephone Number : 980-302-3550
Fax Number : 980-302-3551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2017
Last Update Date : 09/13/2024

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Directions to “ RAHEL HAILEMICHAEL WOLDEMARIAM MD” Practice Location

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