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NPI Code Detail

MEDICARE: SHELEME ADDIS SENDABA

MEDICARE: SHELEME ADDIS SENDABA
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
1247000000XHealth Information Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1941164909OTHERCITY CONTRACTOR

General Provider Information

NPI Number : 1447545140
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELEME ADDIS SENDABA
Provider Business Mailing Address
First Line : 1153 OAK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2216
Country : US
Telephone Number : 415-431-9000
Fax Number :
Provider Business Practice Location Address
First Line : 1153 OAK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2216
Country : US
Telephone Number : 415-431-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2011
Last Update Date : 06/10/2011

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Directions to “ SHELEME ADDIS SENDABA ” Practice Location

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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.

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