DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TESFAYE DEMISSIE FANTA, MD

Active

DR. TESFAYE DEMISSIE FANTA, MD is a Internal Medicine healthcare provider located in REIDSVILLE, North Carolina. NPI 1174557128 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · REIDSVILLE, NC

Registration Details

NPI Number
1174557128
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2006 (19.914861096737 yrs)
Last Updated
Jul 26, 2012
License
9700943 (NC)

Practice Information

Address
910 WEST HARRISON STREET
REIDSVILLE, NC, 27320
Browse NC providers · Browse ZIP 27320
Phone
3363429564
Fax
3363499723
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in REIDSVILLE, NC

Name Credential NPI
LAWRENCE J FUSCO M.D. 1700868890
DR. ALOHA E BRYSON MD, PHD 1972574184
DR. ROY O FAGAN III MD 1023075140
SAIMA A RIZWAN MD 1275582793
DR. GOKUL KRISHNAN MD 1457301269
DR. JOHN ZACHARIAH HALL II M.D. 1215961180
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.