Tesfaye D Fanta (NPI# 1174557128, PAC ID# 4587603691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174557128 |
| PAC ID by PECOS | 4587603691 |
| Professional Enrollment ID | I20050428000252 |
| Full Name | Tesfaye D Fanta |
| Address |
910 W Harrison St Reidsville NC 27320-3324 |
| Phone Number | 3363429564 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340091 | MOSES H. CONE MEMORIAL HOSPITAL, THE |
| 340060 | MOREHEAD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 910 W Harrison St, Reidsville, NC 27320-3324 | 3363429564 |
| Street Address |
910 W HARRISON ST |
| City | REIDSVILLE |
| State | NC |
| Zip | 27320-3324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Belayenh Befekadu | Nephrology | 1352 W Harrison St, Reidsville, NC 27320-2606 | |
| Mary D Crumpton | Registered Dietitian Or Nutrition Professional | 102 N Washington Ave, Reidsville, NC 27320-3446 | |
| Anna Wentz Boone | Nurse Practitioner | Moses Cone Physician Services, Inc | 233 Gilmer St, Reidsville, NC 27320-3809 |
| Leslie Sharp Lewis | Physician Assistant | Moses Cone Physician Services, Inc | 233 Gilmer St, Reidsville, NC 27320-3809 |
| Sandi L Fields | Gastroenterology | Moses Cone Physician Services, Inc | 233 Gilmer St, Reidsville, NC 27320-3809 |
| Robert M Rourk | Gastroenterology | Moses Cone Physician Services, Inc | 233 Gilmer St, Reidsville, NC 27320-3809 |
| Eric A Gill | Nurse Practitioner | Moses Cone Physician Services, Inc | 233 Gilmer St, Reidsville, NC 27320-3809 |
| Benjamin Mckinney | Podiatry | Rockingham Foot and Ankle Associates | 307 S Main St, Reidsville, NC 27320-3815 |
| Prayashkumar Patel | Podiatry | Rockingham Foot and Ankle Associates | 307 S Main St, Reidsville, NC 27320-3815 |
| Edward L Hawkins | Internal Medicine | Moses Cone Affiliated Physicians, Inc. | 406 Piedmont St, Reidsville, NC 27320-3832 |
| Find all physicians in zip 27320 | |||
| City | REIDSVILLE |
| Zip Code | 27320 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | REIDSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tesfaye D Fanta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.