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Contact Information

AFEWORKI O KIDANE, DO
1985 E CHANDLER BLVD
CHANDLER, AZ85225-5110
 Phone: 602-755-0800
 Fax: 602-560-2721
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for AFEWORKI O KIDANE · (Male)

NPI Number 1326018557
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/23/2006
Last updated 06/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4458
  • MI Medicaid 3480230
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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