Provider Demographics
NPI:1164097614
Name:BEZABIH, YIHIENEW MEQUANINT (MD)
Entity Type:Individual
Prefix:DR
First Name:YIHIENEW
Middle Name:MEQUANINT
Last Name:BEZABIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 LINCOLN CREST CIRCLE
Mailing Address - Street 2:APARTMENT 419
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106
Mailing Address - Country:US
Mailing Address - Phone:404-914-0191
Mailing Address - Fax:
Practice Address - Street 1:303 PARKWAY DRIVE NE
Practice Address - Street 2:WELLSTAR AMC INTERNAL MEDICINE RESIDENCY PROGRAM
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312
Practice Address - Country:US
Practice Address - Phone:404-667-9346
Practice Address - Fax:404-265-4989
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2022-11-29
Deactivation Date:2022-11-23
Deactivation Code:
Reactivation Date:2022-11-29
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program