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NPI Verification

National Provider Identifier: 1457886780

Woderyelesh Kassa, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

3825 MEDICAL PARK DR STE 200

AUSTELL, GA 301066831

Phone: 770-948-5578

NPI Enumeration Date

April 24, 2017

NPI Number

1457886780

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry