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Contact Information

ZEWDU LISSANU, MD
125 GREENBRIAR DR
CAMPBELLSVILLE, KY42718-9616
 Phone: 270-789-0247
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ZEWDU LISSANU · (Male)

NPI # 1770556235
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2006
Last updated 12/11/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 36828
  • KY Medicaid 64032188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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