Kidane, Afeworki Ocbaghiorgis

Kidane, Afeworki Ocbaghiorgis is an individual health care provider with primary practice located at 1985 E Chandler Blvd , Chandler AZ 85225-5110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kidane, Afeworki Ocbaghiorgis can be contacted via phone (602) 755-0800.

Contact Information

Primary practice address
1985 E Chandler Blvd Chandler AZ 85225-5110
Phone: (602) 755-0800
Fax: (602) 560-2721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 4458 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4458 Arizona

Profile Details

NPI number 1326018557
LBN Legal business name Kidane, Afeworki Ocbaghiorgis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jun 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326018557 NPPES
Michigan MEDICAID 3480230

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