MEDICARE: BINYAM SAMUEL TEFERRA

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1326976911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINYAM SAMUEL TEFERRA

Provider Business Mailing Address
First Line	:	5006 STANBURY DR
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-6815
Country	:	US
Telephone Number	:	913-305-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	5006 STANBURY DR
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28104-6815
Country	:	US
Telephone Number	:	913-305-8422
Fax Number	:

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

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

Similar Medicare Providers

1770414476 — PAMELA LYNN HOUSTON
Practice Location Address:

3927 TWELVE MILE CREEK RD
MATTHEWS, NC
28104-9236

Practice Phone: 704-296-6317
Practice Fax:

1174452593 — SALLY L. HOLMES MS,CCC-SLP
Practice Location Address:

451 HUNTING CREEK RD
MATTHEWS, NC
28104-9311

Practice Phone: 704-993-1996
Practice Fax:

1104783869 — DOMINIQUE FOSTER LCSWA
Practice Location Address:

5060 STONEHILL LN
MATTHEWS, NC
28104-6117

Practice Phone: 954-240-0505
Practice Fax:

1407848070 — MR. THOMAS J MORGAN MS, LAT,ATC,PES,EMT
Practice Location Address:

1013 CHESTNUT LN STE 120
MATTHEWS, NC
28104

Practice Phone: 704-893-5487
Practice Fax: 704-973-0696

1336134485 — DR. KESHAV BHAT O.D.
Practice Location Address:

1013 CHESTNUT LN , SUITE 210
MATTHEWS, NC
28104-8531

Practice Phone: 704-821-5009
Practice Fax: 866-334-0626

1255328167 — MRS. TAMI H. EKLUND M.A. CCC-SLP
Practice Location Address:

200 WADE HAMPTON DR
MATTHEWS, NC
28104-6376

Practice Phone: 704-995-1465
Practice Fax: 704-283-6181

Directions to “ BINYAM SAMUEL TEFERRA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.