Teshome, Mediget
Teshome, Mediget is an individual health care provider with primary practice located at 100 Medical Plaza Suite 310 , Los Angeles CA 90095-4009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Teshome, Mediget can be contacted via phone (310) 825-2144.Contact Information
Primary practice address
100 Medical Plaza Suite 310
Los Angeles CA 90095-4009
Phone: (310) 825-2144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | P7360 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | A101388 | California |
Profile Details
| NPI number | 1699963678 |
|---|---|
| LBN Legal business name | Teshome, Mediget |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Jan 16th, 2024 - about 2 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 | 1699963678 | NPPES |
| Texas | MEDICAID | 331808101 |
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