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Contact Information

MABODAWILAGE G HEMATILLAKE, MD
650 S ZEDIKER AVE
PARLIER, CA93648
 Phone: 559-646-3561
 Fax: 559-646-6617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MABODAWILAGE G HEMATILLAKE · (Male)

NPI # 1407967821
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 07/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C149813
  • ID License # M8520
  • PA License # MD428463
  • UT License # 379576-1205
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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