Makonnen G Habtemariam Pllc

NPI #1043547938 in Phoenix, Arizona

Provider Information

NPI Number: 1043547938
Entity Type: Organization
Organization Name: Makonnen G Habtemariam Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 12, 2009
Last Updated: Apr 24, 2015

Practice Location

Address: 1800 E VAN BUREN ST
City: Phoenix
State: Arizona
ZIP Code: 85006-3742
Phone: (480) 907-7707

Authorized Official

Name: DR. MAKONNEN G HABTEMARIAM, MD
Title: SOLE MEMBER
Phone: (480) 907-7707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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