Jeremiah Sisay, PHARMD, MD

NPI #1194098111 in Mesquite, Texas

Provider Information

NPI Number: 1194098111
Entity Type: Individual
Name: Jeremiah Sisay, PHARMD, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: PHARMD, MD
Enumeration Date: Feb 22, 2012
Last Updated: Mar 25, 2019

Practice Location

Address: 2698 N GALLOWAY AVE STE 101
City: Mesquite
State: Texas
ZIP Code: 75150
Phone: (972) 288-1662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X
Internal Medicine	207R00000X	Primary

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