Tedla, Fasika M
Tedla, Fasika M is an individual health care provider with primary practice located at 5 E 98Th St Fl 12 , New York NY 10029-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tedla, Fasika M can be contacted via phone (212) 659-8086.Contact Information
Primary practice address
5 E 98Th St Fl 12
New York NY 10029-6501
Phone: (212) 659-8086
Fax: (212) 731-7220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 222336 | New York |
Profile Details
| NPI number | 1760482822 |
|---|---|
| LBN Legal business name | Tedla, Fasika M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Nov 7th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760482822 | NPPES |
| New York | MEDICAID | 02668537 |
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