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NPI Code Detail

MEDICARE: DR. ZEWGE SHIFERAW-DERIBE M.D

MEDICARE: DR. ZEWGE SHIFERAW-DERIBE M.D
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician231792NY

Other Identifiers

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

General Provider Information

NPI Number : 1508846726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZEWGE SHIFERAW-DERIBE M.D
Provider Business Mailing Address
First Line : 1710 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4824
Country : US
Telephone Number : 718-531-2702
Fax Number : 718-531-2602
Provider Business Practice Location Address
First Line : 1545 ATLANTIC AVE STE 108
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-1122
Country : US
Telephone Number : 718-467-1545
Fax Number : 718-467-1560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 10/13/2025

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