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

KIDANU BIRHANU MD SC

Active Organization

KIDANU BIRHANU MD SC is a Clinic/Center organization located in DYER, Indiana. NPI 1619288339 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · DYER, IN

Registration Details

NPI Number
1619288339
Provider Type
Organization
NPI Issued
Jun 28, 2010 (16.161118195903 yrs)
Last Updated
Jun 28, 2010
License
01066132A (IN)

Practice Information

Address
24 JOLIET ST
SUITE 302
DYER, IN, 463111705
Browse IN providers · Browse ZIP 46311
Phone
2198522518
Fax
2198642156
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Organizations in DYER, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.