KASEBAOTH MEKONNEN
Emergency Medicine
Active
Individual
NPI: 1467847855
Practice Address
1411 E 31ST STEMERGENCY DEPARTMENT AHS HIGHLAND CAMPUS/QIC 22123
Oakland, CA 94602
Phone: (510) 437-8356
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Emergency Medicine | 207P00000X | Yes | D87772 (MD) |
Frequently Asked Questions
NPI 1467847855 is the National Provider Identifier for KASEBAOTH MEKONNEN, a Emergency Medicine provider located in Oakland, CA. This NPI was enumerated on April 1, 2015.
KASEBAOTH MEKONNEN practices at 1411 E 31ST ST, EMERGENCY DEPARTMENT AHS HIGHLAND CAMPUS/QIC 22123, Oakland, CA 94602.
Quick Facts
- NPI
- 1467847855
- Type
- Individual
- Enumerated
- Apr 1, 2015
- Last Updated
- Jul 8, 2019
Nearby Providers
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MS. REGINA HOGAN
Peer Specialist
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KATHERINE CLAROS
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DR. KERERY HANSON, D.D.S.
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DR. TOLBERT SMALL, MD
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MRS. KAREN HODGES, DPT
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