Provider Demographics
NPI:1750139424
Name:KEBEDE, ABENEZER FELEKE (MD)
Entity type:Individual
Prefix:DR
First Name:ABENEZER
Middle Name:FELEKE
Last Name:KEBEDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:YERER ALEMAYEHU STREET
Mailing Address - Street 2:YERER ALEMAYEHU BUILDING, 1ST FLOOR
Mailing Address - City:ADDIS ABABA
Mailing Address - State:ADDIS ABABA
Mailing Address - Zip Code:00000
Mailing Address - Country:ET
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:234 EAST 149TH STREET
Practice Address - Street 2:ROOM 4-20
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2025-01-16
Deactivation Date:2025-01-09
Deactivation Code:
Reactivation Date:2025-01-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program