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NPI Code Detail

MEDICARE: EDEN TSEHAYE AMDEMICHAEL M.D.

MEDICARE: EDEN TSEHAYE AMDEMICHAEL 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
1208600000XSurgery PhysicianD0089186MD

General Provider Information

NPI Number : 1659530509
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDEN TSEHAYE AMDEMICHAEL M.D.
Provider Business Mailing Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-215-6310
Fax Number : 240-566-7754
Provider Business Practice Location Address
First Line : 1562 OPOSSUMTOWN PIKE
Second Line :
City : FREDERICK
State : MD
Zip : 21702-4920
Country : US
Telephone Number : 240-215-6310
Fax Number : 240-566-7754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2008
Last Update Date : 11/19/2025

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