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Contact Information

ERMIAS A GEBRE, MD
3269 STOCKTON HILL RD
KINGMAN, AZ86409
 Phone: 928-757-2101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ERMIAS A GEBRE · (Male)

NPI # 1598899213
Status Active
Credentials MD
Entity Individual
Enumeration date 03/15/2007
Last updated 07/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 45442
  • NV License # 17672
  • NV License # LL1567
  • OH License # 35.091301
  • AZ Medicaid 676098
  • AZ Other 45442 LICENSE
  • NV Other LL1567 MEDICAL LICENSE
Hospital affiliation(s)
  • KINGMAN REGIONAL MEDICAL CENTER - (Acute Care)
    3269 STOCKTON HILL ROAD
    KINGMAN, AZ 86409
  • SUNRISE HOSPITAL AND MEDICAL CENTER - (Acute Care)
    3186 S MARYLAND PKWY
    LAS VEGAS, NV 89109
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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