Male or Other

Dr. Anteneh K. Fisseha DO

Hospitalist Physician in Evansville, IN(View on Map)

Full Name

Dr. Anteneh K Fisseha DO

NPI Number

1154881175

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/25/2019

Specialties

(Taxonomies)

Code

208M00000X
207Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Indiana
Washington

License Number

02007470A
OP61302801

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3407
600 MARY STREET

City

Evansville
Evansville

State

IN
IN

Postal Code

47733-3407
47747-4379

Country

US
US

Telephone Number

(812) 450-3036
(812) 450-3036

Identifiers

Identifier

1154881175

Identifier State

WA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2023

Provider Address

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