Whalio Doctors

NPI 1366462764

Dr Afeworki Kidane LTD

Organisation Neuromusculoskeletal Medicine & OMM Physician Mesa, AZ

Practice location

Address
6641 E Baywood Ave, Mesa, AZ 85206-1723
Phone
(480) 653-8400
Fax
(480) 209-1337

Authorised official

Name
Afeworki Ocbaghiorgis Kidane
Title
President
Phone
(480) 653-8400

Registered specialties (3)

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 4458 (AZ)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 5101012760 (MI)
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 4458 (AZ)

Registry record

NPI
1366462764
Entity type
Organization
NPI issued
20 Jul 2006
Record last updated
8 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.