Provider Demographics
NPI:1073838785
Name:BIFFA, ALEMAYEHU GEBISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEMAYEHU
Middle Name:GEBISSA
Last Name:BIFFA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8800 MONTGOMERY BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2310
Mailing Address - Country:US
Mailing Address - Phone:505-462-6400
Mailing Address - Fax:505-462-6458
Practice Address - Street 1:8800 MONTGOMERY BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2310
Practice Address - Country:US
Practice Address - Phone:505-462-6400
Practice Address - Fax:505-462-6458
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2013-0155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine